OFFICE USE ONLY                                   Volunteer start date: __________
Volunteer Application Form
The Centre
A Community Centre Serving and Supporting Lesbian, Gay, Transgender, Bisexual People and Their Allies
1170 Bute St. Vancouver, B.C. V6E 1Z6 (604) 684-5307

 

Date of Application ______________________

Personal Information                                                                                      

Name _______________________________________________
Date of Birth (month)____ (day) ____ Are you under 19 years old? _____
Phone __________________ May we leave a message? Yes    No      
Email: _________________________________
Address __________________________________ Postal Code: ________________
Emergency Contact: Name _______________________ Phone __________________
How did you find out about The Centre?
Friend ___ Current Volunteer ____ Newspaper ___Other ____________

Volunteer Areas/Positions/Responsibilities

Please Check areas you are interested in:
Phone Lines  __
Library __
Reception __
Fund Raising __
 Community Outreach __
Youth services __
Special Events __
Board of directors __
Committee Work __		 Newsletter __
Cleaning/Repairs  __
Computer/Database __
Counselling __
(Prof. Degree required)

Other________________________________________________________________________________
_____________________________________________________________________________________

Availability

Please check day &/or evenings according to your usual availability

day mon tue wed thu fri sat sun
daytime              
evening              

Comments/Preferences ________________________________________________________________

How many hours per week _____ or month _______ would you like to volunteer?

Are you interested in occasional "on call" work (events, relief shifts, etc)? Yes No
Experience & Skills

Please tell us about the talents & abilities you would bring to volunteering at The Centre:

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Languages (other than English) spoken ______________________ written ______________________

Computer Knowledge _________________________________________________________________

Community Organization Experience ____________________________________________________
___________________________________________________________________________________

Other areas of interest_________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Goals

What do you personally hope to achieve by Volunteering at The Centre? _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

References:

Please list two people as references. One can be a personal reference, one must be a professional reference. You must have these people fill out, and return, the attached Reference Forms.

Name _______________________ Phone ________________ Years Known ______

Name _______________________ Phone ________________ Years Known ______

Are you currently a member of The Centre? Yes        No

 

Signature ______________________________________________

 

Please return application to Reception. The Volunteer Coordinator will contact you with an orientation session date.

Print reference forms

or  go home Arrow.gif (4190 bytes)

Exclaim.gif (1443 bytes)Remember to print 2 copies of the reference forms