Volunteer Application Form

Rendez-Vous Champlain
Volunteer Application
Information on you!
Name, Age
Street Address
City, Postal Code
Home Phone
Work Phone
E-Mail Address
Spoken Languages
___ English
___ Français
Availability
During which hours are you available for volunteer assignments?
___ Friday morning
___ Saturday morning
___ Sunday morning
___ Friday afternoon
___ Saturday afternoon
___ Sunday afternoon
___ Friday evening
___ Saturday evening
___ Sunday evening
___ Friday night
___ Saturday night
___ Sunday night
Morning (8:00 am – 1:00 pm) | Afternoon (12:00 pm – 5:00 pm) | Evening (4:00 pm – 9:00 pm) | Night (8:00 pm – end)
Interests
Tell us in which areas you are interested in volunteering
___ Administration
___ Talent\Band Assistance
___ Promotion
___ Lighting and Sound Assistance
___ Field Work
___ Souvenir Sales
___ Visitor Surveying
___ Ticketing
___ Parking \ Barricades
___ On-Site Information
___ Site Prep
___ Driver
Volunteer Hour Reporting
Do you require a summary report of volunteer hours?
___ No
___ Yes, for completion of high school hours
___ Yes, for other reason
Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, previous volunteer work,
or through other activities, including hobbies or sports.
10 Robert St W, PO Box 5009, Penetanguishene, ON, L9M 2G2 | (705) 549-7453 | champlain@penetanguishene.ca
Certification
Check any currently valid certification you have.
___ Standard First Aid
___ Lifeguarding / Bronze Cross
___ Standard First Aid Level ‘C’ with CPR/AED
___ WHMIS
___ Accessible Customer Service Standards Training
___ Other
If other, please specify: _____________________________________________________________
Previous Volunteer Experience
Summarize your previous volunteer experience.
Person to Notify in Case of Emergency
Name
Street Address
City, Postal Code
Home Phone
Work Phone
E-Mail Address
Do you have any medical
conditions? (specify)
Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that
if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by
me on this application may result in my immediate dismissal.
Name (printed)
Signature
Date
Our Policy
It is the policy of this organization to provide equal opportunities without regard to race, color, religion,
national origin, gender, sexual preference, age, or disability.
Information collected will be handled in accordance to the Town of Penetanguishene’s By-Laws and
policies, and may be subject to the Freedom of information act, where applicable.
Thank you for completing this application form and for your interest in volunteering with for the 2015
Rendez-Vous Champlain Festival.
10 Robert St W, PO Box 5009, Penetanguishene, ON, L9M 2G2 | (705) 549-7453 | champlain@penetanguishene.ca