CCCKL Volunteer Application Form

Volunteer Application

Fill the form below accurately indicating your potentials and suitability to job applying for
Name:*

First NameLast Name
Gender:*
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Province
Contact Information
Phone Number:*
Format: (000) 000-0000.
E-mail Address:*
example@example.com
Background Information
Have you applied to a role before with our agency?*
Skills

CPR CertificateFirst AidDriver's LicenseSafe Food Handler TrainingSign LanguageCrisis Aversion and Response
Other Skills
Languages Spoken:

EnglishFrenchOther Language
Availability - Seasons Preferred

WinterSpringSummerFall
Availability - Days Preferred (Select all/any)

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Availability - Time (Select all/any)

MorningAfternoonEvening
Please select the option that applies (if any)
How did you hear about Community Care City of Kawartha Lakes (CCCKL)?
Why are you interested in applying as a volunteer with Community Care City of Kawartha Lakes?
Please list any relevant work experience including any training or certificates for the position you are applying to?
Please provide a summary of any previous volunteer experience.
Upload Resume:

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Area of interest

Adult Day ProgramMeals on WheelsHealth Promotion & Wellness ProgramsDiners ClubTransportationFriendly Visiting/ReassuranceHospice/Palliative CareFundraisingCommittees/Board ParticipationOffice Assistance
- Reference First Name*
- Reference Last Name*
- Reference Email*
- Reference Phone*
- Reference Relationship*
- Ok To Contact?*
- Reference First Name
- Reference Last Name
- Reference Email
- Reference Phone
- Reference Relationship
- Ok To Contact?
- Reference Email
- Reference Phone
- Reference Relationship
- Ok To Contact?
- Should be Empty:

Volunteer Application

Contact Information

Background Information