CESLM Volunteer Application

CESLM Volunteer Application

**Please note that three references will be required.
Contact Information

Please complete the form, sign and submit.
Name*

First NameLast Name
Complete Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell phone:*
Work phone:*
Email address:*
example@example.com
Preferred method of contact:*
Are you a Canadian citizen or permanent resident?*
Volunteering With Us

So we can get to know your interests, please fill in the information below as best as you can.
List volunteer activities with Cooperative ESL Ministries (CESLM) that may interest you:*
Please indicate your availability:*
Please provide additional information you would like us to consider when determining a potential volunteer placement:*
Please include information regarding any specific disability or health concerns that may affect your volunteering: *
Volunteer Reference Check
Please provide three references from someone who knows you well, such as a pastor or supervisor. Fill in the information below with the full name, email and phone number for each of your references.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
I authorize the CESLM Volunteer Coordinator and/or CESLM board members to contact the organizations and/or names listed above to obtain further information for the purpose of volunteering with CESLM.
Agreement and Signature
I have read and will adhere to CESLM’s Faith and Values Statement. If
unable, I will disclose this to the Volunteer Coordinator.

I declare that the information provided in this application is true and complete. I understand that false information provided may be cause for denial of a volunteer placement and that my volunteer status may be immediately revoked by CESLM.
Signature:*

Clear
MonthDayYear
Date
Thank you for your interest in volunteering with Cooperative ESL Ministries. We will get back to you as soon as possible. Questions? Contact our Volunteer Coordinator at volunteer@eslcooperative.ca.
Cooperative ESL Ministries is an interdenominational Christian organization dedicated to welcoming newcomers to Canada. We serve people of all faiths and cultures—advocating respect and understanding of cultural, religious and language backgrounds.

We train, resource, network, and consult to fulfill our mission–empowering churches to reach out in love to the immigrants and internationals in our communities.

eslcooperative.ca
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CESLM Volunteer Application

Contact Information

Volunteering With Us

Volunteer Reference Check

Agreement and Signature