Volunteer Application Form Name * First Name Last Name How old are you? * Choose one Teen Young Adult (20-30) 30-60 60+ Areas of Interst Choose all that apply Office Driving Vivian (mobile unit) for awareness Peer counseling - pregnancy Peer counseling - post-abortive Organizing baby clothing donations Cleaning Fundraising/event team Church liaison Folding newsletters 4x per year Social media team Phone Pal Program (talking with seniors) supporting vulnerable seniors in our community Skills/Experience Receptionist Writing (i.e. blog post, articles) Social media / graphic design IT Peer counseling / social work other If other, please tell us more! Email Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Are you currently employed? Yes No Place of Current employment and job title (if applicable) Past employment experience Past volunteer experience Why do you want to volunteer here? How do you hope to benefit? Describe your favorite volunteer or work experience Character Reference * Ideally a supervisor (paid or volunteer) or pastor. Please provide their name, title, phone number and email address. Volunteers who work directly with clients must submit a criminal record check to the Chilliwack RCMP. Are you willing to undergo a criminal record check? yes no Thank you! We’ll be in touch.
