Agreement I understand that I must complete a police record check through AVATIL prior to being accepted as a volunteer. I understand that this is an application for and not a commitment or promise of volunteer opportunity. I hereby certify that the information I am providing below is true and correct. I authorize AVATIL to contact my references. Applicants must be at least 18 years old. VOLUNTEER APPLICATION FORMName* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Tel. # home*Tel. # cellLanguages Spoken* French English Other Specify*Emergency Contact Name*Emergency Contact Tel. #*Please mark the area(s) you are interested in* Special Events (e.g. Walk-a-Thon, Christmas) Maintenance/Repairs Monthly Shared Suppers Newsletter Community Support Saturday Potluck Lunches Group Animation Fundraising Committees Other Specify Committee(s)*Specify Other(s)*Availability* Weekdays Saturdays Morning Afternoon Evening How many hours per week or month would you like to volunteer?*Per week or month?*Per weekPer monthWhy do you want to volunteer?*What interests and skills would you like to contribute as a volunteer?*How did you hear about us?* Friend/Family Website Newspaper Other Specify*References Preferably, at least 1 of the 3 references must be a professional referenceReference 1Reference 1: Full Name* First Last Reference 1: Relationship*Reference 1: Years known*Please enter a number from 0 to 100.Reference 1: Telephone-Home #*Reference 1: Other Telephone #Reference 2Reference 2: Full Name* First Last Reference 2: Relationship*Reference 2: Years known*Please enter a number from 0 to 100.Reference 2: Telephone-Home #*Reference 2: Other Telephone #Reference 3Reference 3: Full Name* First Last Reference 3: Relationship*Reference 3: Years known*Please enter a number from 0 to 100.Reference 3: Telephone-Home #*Reference 3: Other Telephone #
