Volunteer Application

*Application Date

Personal Information

*First Name

*Last Name

*Email Address

*Phone Number

*Street Address

Street Address Line 2

*City

*Province

*Postal Code

For Volunteers Under 18 Years of Age

If the volunteer has any physical limitations which would govern the kind of assignment given, please list them below.

Signature of Parent GuardianPlease add your full name to represent your signature.

Previous Experience

Please tell us about your experiences. If any do not apply, please enter "none".

*Past or Present Occupation

*Previous Work Experience Training

*Previous Volunteer Experience

*Community Affiliations Clubs, Organizations, Groups

*I am able to commit to volunteering with Parkview for...

Less than 3 months 3-6 months 6-12 months More than 1 year

Volunteer Interests

Please check the volunteer positions which interest you. Note the days and times the volunteer position is offered. M=Morning A=Afternoon E=Evening

My Interests

Criminal Reference Checks

Volunteers under the age of 18 are exempt.

In submitting this application I understand and accept that if I am offered a position at Parkview Home, confirmation of permanent employment or volunteer status with Parkview Home is conditional on my submitting a copy of a Police report indicating a successful Criminal Reference Check as relates to the position being offered. This is the only purpose for which the Criminal Reference Check will be used and all such information will remain confidential. The appropriate form will be made available to you, and will be signed by the authorized Parkview Home representative. The results of the Criminal Reference Check must be presented to the hiring supervisor within thirty days of any conditional offer of employment. The cost of the Criminal Reference Check is to be borne by the applicant.

POLICY: “Steps will be taken to protect the safety of Parkview Home Residents, Staff and Home Property. A final decision regarding the hiring of new employees and volunteers is conditional upon a satisfactory criminal reference check.”

*Policy Acceptance

I understand and accept this policy

Volunteer Agreement

As a Volunteer, I accept the responsibility to maintain my knowledge / understanding of my volunteer role. I commit to participation in training and evaluation of activities. In the event that my Volunteer involvement is not compatible with Parkview Home requirements, then the decision of the Director of Program and Support Services will be final (i.e. retaining, transfer to another area or termination).

*Signature of VolunteerPlease add your full name to represent your signature.