Volunteer Application

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Name:*

E-Mail Address:*

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Address:

City:

Province:

Postal Code:

Telephone:

Age:*

14-17 years
18-49 years
50-65 years
Over 65

In accordance with Occupational Health and Safety Act, R.S.O. 1990, volunteers must be a miniumum age of 14 years. If you are under 18 years of age, please indicate date of birth. A signed parental/guardian consent signature will also be required.

Date of Birth

Area of Interest:

Operations
Onboard Safety
Restoration
Dirty Hands Club

Work or volunteer experience

Do you speak any languages other than English?

Have you ever been convicted of a criminal offence for which a pardon has not been granted?:

Yes
No

Will you agree to a Police Records Check if it is required for volunteer placement?:

Yes
No

How did you learn about this volunteer opportunity?

May we contact you with information regarding other volunteer opportunities in the future?:

Yes
No

References

Name of Reference 1:

Reference Relationship to Applicant:

Reference Address:

Reference Telephone #:

Name of Reference 2:

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Name of Reference 3:

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