VOLUNTEER INFORMATION

Address

Town, Postal Code

Email

Do you identify as indigenous?

Is English your first language?

Are there any other languages you speak fluently?

EMPLOYMENT INFORMATION

Place of Employment

Position

If retired, previous occupation

Do you have other skills or resources that might benefit your volunteer work at Muskoka Seniors?

Have you ever volunteered before?

If yes, please describe when and where.

PERSONAL INFORMATION

What are your hobbies and interests?

Why do you want to volunteer with Muskoka Seniors?

Emergency Contact

Relationship

OPP VOLUNTEER SCREENING REQUIREMENT Please provide two references (i.e. previous agency where you volunteered, an employer or associate)

Name of Reference One:

Relationship

Email

Name of Reference Two:

Relationship

Primary Phone Number

Secondary Phone Number

Email

WHAT VOLUNTEER POSITIONS INTEREST YOU?

If prompted to reach out through word of mouth or Business/Organization, please share with us! - Name/Company