Volunteer Application Form
Name
*
First Name
Last Name
Telephone / Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address (911# + Street + PO Box)
Street Address Line 2
City
State / Province
Postal Code
Are you 18 + years of age
*
Yes
No
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Volunteer Opportunities (Please check area(s) of interest)
*
Diners’ Club - Server
Foot Care Clinic, Reception
Diners’ Club - Chef
Office Support
Transportation - Driver
Telephone Reassurance
Transportation - Companion
Friendly Visiting
Meals on Wheels - Prep
Special Events
Meals on Wheels - Deliver
Singing Seniors Choir
Computer Mentoring
Committees*
Board of Directors
Other
* Committees may include Fundraising and Volunteer Advisory
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How did you hear about Volunteer Opportunities at SCS?
Why would you like to join the SCS Volunteer team?
Work Experience/Education:
Volunteer Experience:
Languages spoken:
Availability
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References
We request the names of two non-family references (employers, colleagues, neighbours, clergy, friends, etc.) These references should be available to be contacted within the next 2-3 weeks.
Name
*
Name
*
Email
*
example@example.com
Email
*
example@example.com
Relationship
*
Relationship
*
In making this application, I hereby give Seniors’ Community Services authority to contact the persons named as references.
*
Yes
No
Submit Volunteer Application
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