General Information
Mr Mrs Miss Ms
Name
Address Apt. No
City Province Postal Code
Phone Number
E-mail

Present Status
Canadian Permanent Resident Convention Refugee
Refugee Claimant Temporary Permit Minister’s Permit
Visitor International Student

Other

Employment Status
Employed Full-time Part-time Unemployed - seeking employment
Retired Student Full-time Part-time

Other

Language(s)
English: Spoken Written French: Spoken Written

Other

Education
Elementary School Secondary School College
Formal Trade Certificate Some University Bachelor’s Degree
Master’s Degree Doctorate Degree

Other Skills, Experience and Special Interests

Previous Volunteer Involvement

Have you volunteered previously with any other organization? Yes No If yes, please specify

Organization & Type of Work

1.

 mm dd yy

2.

 mm dd yy

Transportation

Do you have access to a vehicle Yes No

Availability
Winter Spring Summer Fall

Hours and Time
Monday
Tuesday
Wednesday
Thursday
Friday
Weekends

Commitment (length of Time) 3 months 6 months 9 months 12 months Other

Bondable

Are you bondable? Yes No

Reference

Please provide two references who are not family members (no long distance numbers, please)

1) Name Telephone

2) Name Telephone

Volunteer Work

From the Volunteer Job Description Manual what areas of volunteer work are you interested in?

1)

2)

3)

Resume

please copy and past your resumé into the text field below.