Volunteer Application

110 Little Ave, Barrie, ON · Volunteer Coordinator: (705) 794-4002

Some volunteer opportunities may not be available depending on current needs. A police criminal record check and vulnerable sector screening are required before training begins.

Personal Information

Full Name *

Date of Birth *

Street Address

City

Province

Postal Code

Daytime Phone

Evening Phone

Email Address *

Emergency Contact

Contact Name *

Relationship

Contact Phone Number

Availability & Logistics

Time Availability

Hours per Month

Transportation

Own vehicle Public transit Both Neither

Languages (speak, read, write)

Restrictions or Allergies

Volunteer Interests

Youth Justice Committee Restorative Justice Facilitator

Background

Skills, Interests & Hobbies

Education, Seminars & Courses

Volunteer Experience

Work Experience

Prior involvement with Elizabeth Fry Society?

No Yes

Criminal Record

Do you have a criminal record for which you have not received a pardon?

No Yes

If yes, please explain

Professional References

Please provide two professional references.

Reference 1 — Name

Title / Position

Reference 2 — Name

Title / Position

Certification & Signature

As a potential volunteer with Elizabeth Fry Society Simcoe Muskoka, I am aware that I need to provide an original copy of a police criminal record check and vulnerable sector screening prior to receiving training for a volunteer role. Furthermore, I certify that the statements made by me in this application are true and complete to the best of my knowledge.

Printed Name *

Signature

Sign here with mouse or touch

Date *

Application Received!

Thank you for your interest in volunteering with the Elizabeth Fry Society Simcoe Muskoka. A coordinator will be in touch with you shortly.

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