The Hub Volunteer Application Form

The Hub Volunteer Application Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
What school do you go to?
Home Phone Number
If you don't have a home phone please leave this blank.
Mobile Number
If you don't have a mobile phone please leave this blank.
Email
example@example.com
Do you use social media? (Eg. Facebook, Instagram, Twitter, Tik Tok etc...)

Parental/Carer Consent

(If under 18)
Organisation: CAN (Compass Advocacy Network)
Project Name: Hub Dropin (Best Buddies NI)

By signing this form, I give permission permission for my son/daughter/person in my care to participate in the Best Buddies Programme. I understand that although there will be staff and volunteers present during Hub Dropin, CAN cannot provide one to one support at all times.

I understand that Hub Dropin will normally be held at CAN premises but that that
there may be times when the group participates in activities away from the
building (e.g. walk to the park, leisure centre activity, coffee shop visit etc) and I
consent to this.
Peer Volunteer Name

First NameLast Name
Parent/Carer Signature
Today's date

MonthDayYear
Date

Consent
NB: The information in this application form will only ever be used for the purposes of CAN and help us to provide you with the right service. We will never share your details. By signing this application you are agreeing to us storing your data and using it in this way.
Peer Volunteer Signature
Today's Date

MonthDayYear
Date
Parent/Carer Signature
Today's Date

MonthDayYear
Date
Should be Empty: