Volunteer Application

Title

Sur Name

Given Name

Address

City

Postal Code

Residence Telephone

Cell Phone/Alternative

Birth Date

Number of Children

Ages

Spoken Languages

How did you hear about Indigenous Victim Services?

E-mail address

Education (include highest grade completed, university degrees, relevant courses or training)

Employment (present position, related work experience)

Previous volunteer experience (if any, extent of experience, skills learned, impressions of volunteer work)

Community Involvement (if any)

Recreation / Hobbies

Victim Services is a 24 hour per day, seven days per week, on call service. When are you available to volunteer?

Do you have a valid driver’s license?

Driver’s License Number

Do you have use of a car?

How long of a commitment could you realistically make to this service?

Why did you choose to volunteer for Indigenous Victim Services?

References Name

Relationship

Telephone Number

Street Address

City

Postal Code

References Name

Relationship

Telephone Number

Street Address

City

Postal Code

Applicant’s Signature

Date