ACSC Volunteer Application Form

Abode Community Service Centre (ACSC)

Volunteer Application Form
Abode Community Service Centre (ACSC) is a non-profit organization empowering members of the vulnerable black communities with equitable access to food, social connectedness and healthcare promotions.

Our mission is to ensure all vulnerable members of the community have access to healthy food, socially connected and empowered by providing programs, services and resources that centers Justice, Equity, Diversity, Decolonization, Inclusion, and Access - JEDDIA.

We encourage the participation of volunteers who support our
mission and are willing to contribute. The information provided through this form will be kept confidential and will help us determine the
most satisfying and appropriate volunteer opportunity for you.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Background*
Current Experience*
Previous Experience*
In which areas would you like to volunteer? (Select all that applies)*
Do you have any volunteer experience? If yes, please describe.
Language(s) spoken
EnglishPlease write all languages you speak
Language(s) written
English Please write all languages you write
Select your available days
From

:HourMinutesAM/PM Option
To

:HourMinutesAM/PM Option
Please Attach your resume (optional)

Browse Files

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Please Attach your vulnerable sector check if available (optional)

Browse Files

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Employment Reference (Name and Telephone number) (optional)
Personal Reference (Name and Telephone number that is not a family member)(optional)
Terms and Conditions

By submiting this application form you agree to the following terms and conditions:
- You agree that ACSC does not guarantee a volunteer position that matches your request will be available. In the event we do not have any opportuniy that meets your request, ACSC will keep your application on file for six (6) months and contact you when a position becomes available.
- You agree to submit a Vulnerable Sector Screening proir to commencing direct support to vualnarable poppulation we serve.
Date

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Date
Signature
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Abode Community Service Centre (ACSC)