Music Teacher Volunteer Form

Music Teacher Volunteer Form
Information
Name *

First Name Last Name
Email *
example@example.com
Cell Phone *
Your Age Range *

Over 19 years old 16 - 18 years old Under 16
Ways to contact you other than phone or email? Check your top choices.

Texting What's App FB messenger IG messenger Email Other
Occupation/School Year
Home Church (Optional)
Do you speak other languages other than English?
Returning teacher - year teaching with VUM
New Tecaher - What musical teaching or volunteer experiences do you have?
Format of teaching *

Online only In-person only Online or In-person (both ok) Other
For in-person lessons, do you have a way to commute to East Vancouver area? If you are not doing online lessons only just write N/A. *
How many students can you teach? *

1 student = 30 minutes 2 = 1 hour 3 = 1.5 hour 4 = 2 hours Other
What time slots are you available for teaching in the week? *
For in-person lessons, it has to be between Mon - Friday (3:00-7:00 pm) at one of the designated East Van schools.
Online teachers only - Do you have access to equipments needed to teach online?

Tablet device, labtop or phone Piano or keyboard Wifi Other
Can you commit to teaching this school year (Approximately Oct - June)?
Criminal record check - you are required to do one with VUM if you are over 16 years old. We will send you the link to do it for free. *
What do you hope to gain from being avolunteer at VUM as a music teacher?
How did you hear about our music program? *
Volunteer Annual Commitment

Please read the following carefully before signing your signature
1) All Volunteers must read VUM's Child Protection Policy - CHILD PROTECTION POLICY (Click Here to read)

2) VUM Commitment to child, youth and adult protection

VUM seeks to bring transformation to those who are the most vulnerable in our community. Therefore it is our spiritual responsibility to do everything within our power to protect and ensure the safety of each individual we serve. We will not tolerate any form of abuse, harassment, or neglect of our clients or volunteers.

In light of this commitment I have read, understand and will uphold all the elements of the Child Protection Policy. I understand that unacceptable behaviour may lead to disciplinary action or even immediate dismissal without warning.

3) VUM Confidentiality Agreement

I promise to protect the privacy and confidentiality of everyone who has requested or who may request assistance from VUM.

I agree not to disclose or discuss specific or identifying information concerning any client or source of verification to any unauthorized person or persons outside my sphere (VUM, phone volunteer, contact person or other).
Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Volunteer's Signature *

Clear
Parent/Guadrian signature if volunteer is under 19 years of age.

Clear
Today's Date *

Month Day Year
Date

References - New Applicants only
For returning teachers - Please skip this section and click submit at the bottom.

For new applicants - Please provide 2 references with the following info (Name, Relationship with you, Email address). A close family member or relative cannot be a reference.
1st Reference's Name

First Name Last Name
Relationship with applicant
Email
example@example.com
2nd Reference's Name

First Name Last Name
Relationship with applicant
Email
How did you hear about us?
Thank you for registering!
1. Lessons should begin sometime after Thanksgiving Weekend in October, but not earlier than that. We'll give you more information closer to the time.
2. More info about "Vancouver Urban Ministries" - www.myvum.ca
Vancouver Urban Ministries is a non-profit organization that provides a spectrum of free specialized help/support to children and their families in the poorest neighborhoods of East Vancouver. Vancouver Urban Ministries provides a spectrum of free specialized help and support to children with learning difficulties and their families in the poorest neighborhoods of East Vancouver. We provide support through Specialized Tutoring, Music Lessons, and Community Events.

Contact: Eagle Youth Music School Director

Esther Leung-Kong (esther@myvum.ca) 778-846-6464
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Music Teacher Volunteer Form

Volunteer Annual Commitment

References - New Applicants only