VOLUNTEER APPLICATION

Thank you for your interest in volunteering with North York Community House (NYCH).
Please take a few minutes to complete the volunteer application form below.

Name *
Name
Address *
Address
Phone
Phone
Phone (work)
Phone (work)
Gender
Age *
VOLUNTEER POSITION
Specific position being applied for (title of position and your availability):
How did you hear about North York Community House? *
Do you speak any other language(s) other than English? *
What are your main reasons for volunteering with NYCH? *
(Please check all that apply)
VOLUNTEER PROFILE & HISTORY
Have you volunteered with North York Community House (NYCH) before? *
Have you had any previous experience as a volunteer? *
Year/Organization/Type of Volunteer Work
EMERGENCY CONTACT INFORMATION
Emergency Contact *
Emergency Contact
(In case of illness or injury)
Emergency Contact Phone *
Emergency Contact Phone
Phone (daytime)
Phone (daytime)
if different from above
Phone (evening)
Phone (evening)
if different from above
REFERENCES
Reference #1 *
Reference #1
References should be persons such as a past employer, teacher, supervisor where you have volunteered, aunt/uncle, religious leader, neighbour, etc. You may list only one family member, excluding spouse or parents. We will accept one written reference. Please inform your references that they will be contacted.
Reference #1 Phone (daytime) *
Reference #1 Phone (daytime)
Reference #2 *
Reference #2
References should be persons such as a past employer, teacher, supervisor where you have volunteered, aunt/uncle, religious leader, neighbour, etc. You may list only one family member, excluding spouse or parents. We will accept one written reference. Please inform your references that they will be contacted.
Reference #2 Phone (daytime) *
Reference #2 Phone (daytime)
POLICE SCREENING
We conduct Police Reference Checks for NYCH volunteers depending on program requirements. Do you consent to NYCH conducting a police reference check on you? *
Please be advised that a police record does not necessarily disqualify you from volunteering.
SIGNATURE
A typed-in name will indicate a signature when emailed
Date *
Date
PARENT/GUARDIAN SIGNATURE
IF APPLICABLE
A typed-in name will indicate a signature when emailed
Date
Date
CONTACT
Please check the box if you DO NOT want to be put on our mailing list for the NYCH newsletter.
Please check the box if you DO NOT want to be contacted for donations or fundraising events.