Volunteer Application Form

Volunteer Application Form
On behalf of House of Lazarus, we would like to thank you for your interest in volunteering your skills and time in support of our programs. The information on this form will remain strictly confidential and will be used only to assist us in placing you in a volunteer position that is both suitable and rewarding.

In order for us to best match your skills and interests with the available volunteer opportunities you will be required to:
• Complete this form
• Submit 2 personal references
• Attend a personal interview
• Participate in an informal orientation

Please submit your application through this link. We welcome your questions and if you would like more information you can contact us at vcane@houseoflazarus.com or by phone at (613) 989-3830.
Name

First NameLast Name
Birth Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com

Emergency Contact

In case of an emergency, we should contact:
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.
Email
example@example.com

Education/Experience
Education/Professional Training:
Volunteer Work:
Employment:
Hobbies/Interests:

References

Please indicate two people other than family members we can contact as references
First Reference Name

First NameLast Name
Company
Phone Number
Please enter a valid phone number.
Email
example@example.com
Relationship
Second Reference Name

First NameLast Name
Company
Phone Number
Please enter a valid phone number.
Email
example@example.com
Relationship

Is there any other information about yourself that you would like to include that would be beneficial to your work with us?
Should be Empty: