Volunteer Application
Fill the form below accurately indicating your potentials and suitability to job applying for
Name:
*
First Name
Last Name
Gender:
*
Please Select
Male
Female
Other
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Province
Please Select
Ontario
Quebec
Nova Scotia
Manitoba
New Brunswick
British Columbia
Prince Edward Island
Saskatchewan
Alberta
Newfoundland and Labrador
Northwest Territories
Yukon
Nunavut
Contact Information
Phone Number:
*
E-mail Address:
*
example@example.com
Background Information
Have you applied to a role before with our agency?
*
Please Select
Yes
No
Skills
CPR Certificate
First Aid
Driver's License
Safe Food Handler Training
Sign Language
Crisis Aversion and Response
Other Skills
Languages Spoken:
English
French
Other Language
Availability - Seasons Preferred
Winter
Spring
Summer
Fall
Availability - Days Preferred (Select all/any)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Availability - Time (Select all/any)
Morning
Afternoon
Evening
Please select the option that applies (if any)
Please Select
I am a high school student requiring community hours
I am applying for a College/University Placement
How did you hear about Community Care City of Kawartha Lakes (CCCKL)?
Please Select
CCCKL Employee
Friends and Family
Local Print Advertisement
Social Media
Online Search
Other
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.
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Area of interest
Adult Day Program
Meals on Wheels
Health Promotion & Wellness Programs
Diners Club
Transportation
Friendly Visiting/Reassurance
Hospice/Palliative Care
Fundraising
Committees/Board Participation
Office Assistance
Reference One (Mandatory)
Reference First Name
*
Reference Last Name
*
Reference Email
*
Reference Phone
*
Reference Relationship
*
Ok To Contact?
*
Please Select
Yes
No
Reference Two (Non Mandatory)
Reference First Name
Reference Last Name
Reference Email
Reference Phone
Reference Relationship
Ok To Contact?
Please Select
Yes
No
Reference Email
Reference Phone
Reference Relationship
Ok To Contact?
Please Select
Yes
No
Submit Application
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