Kids' Clubs Pickup Volunteer Application

Kids' Clubs Pickup Volunteer Application
PERSONAL INFORMATION
Name*

First Name Last Name
Address*

Street Address

Street Address Line 2

City Province

Postal Code
Primary Phone Number*

Area Code Phone Number
Secondary Phone Number

Area Code Phone Number
Email*
example@example.com
Emergency Contact*

First Name Last Name
Relationship*
Phone Number*

Area Code Phone Number
How did you learn about our volunteer opportunities?
Are you 18 or older?*

YESNO
We are sorry but this volunteer position is suitable for people 18 years of age and older. Please click here to return to our listings.
Do you have a current Vulnerable Sector Check?*

YESNO
Have you ever been convicted of an offence for which you have not been pardoned?*

YESNO
If yes, please explain.*
Which shift(s) are you interested in?*

Mondays 2:30 pm - 3:30 pmFridays 2:30 pm - 3:30 pm
REFERENCES

Please list three. We recommend that you please include reference letters if you wish to expedite the application process.
Reference 1 Name*

First Name Last Name
Relationship*
Phone Number*

Area Code Phone Number
Email*
example@example.com
Reference Letter (if applicable)

Browse Files

Cancelof
Reference 2 Name*

First Name Last Name
Relationship*
Phone Number*

Area Code Phone Number
Email*
example@example.com
Reference Letter (if applicable)

Browse Files

Cancelof
Reference 3 Name*

First Name Last Name
Relationship*
Phone Number*

Area Code Phone Number
Email*
example@example.com
Reference Letter (if applicable)

Browse Files

Cancelof
CERTIFICATION

By signing (typing) below, you are certifying that all information provided is true and complete.
Name*

First Name Last Name
Date*

MonthDay Year
Date
A parent/guardian must sign this form on behalf of any applicant who is under 18 years of age indicating authorization of their child volunteering with KSM.
Name*

First Name Last Name
Date*

MonthDay Year
Date
Should be Empty:

Kids' Clubs Pickup Volunteer Application

PERSONAL INFORMATION

REFERENCES

CERTIFICATION