Volunteer Form - Place des Arts

Personal Information

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First Name *

Last Name *

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Preferred Name

Unit/Apt #

Address *

City *

if other, please specify:

Province *

Postal Code

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Phone 1 Type *

Phone 1 # *

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Phone 2 Type

Phone 2 #

Email *

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Birth Date *

Pronouns *

Health Concerns/Support Needs *

Please let us know of any allergy, health, mobility concerns, etc. we should be aware of. Please enter "none" if there are none.

Interests/Experience/Skills

Which program(s) are you interested in? Select all that apply *

Other program(s) you are interested in not listed above:

How did you hear about volunteering at Place des Arts? *

Please specify

Why do you want to volunteer at Place des Arts? Select all that apply. *

To complete my work experience or volunteer hours for school
To learn about my own strengths and weaknesses
To learn more skills and gain experience
To make a difference in the community
To meet new people
To support arts and culture
To volunteer with my friends
Other

Other reason for volunteering not listed above:

What special skills or qualifications do you have? Select all that apply. *

Other special skills or qualifications you have not listed above:

If you speak a language other than English, please let us know what language(s) you speak here.

Previous Volunteer or Work Experience *

References

Please provide name and contact information for a personal and professional reference. Family may not act as references.

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1st Reference Contact: First Name *

1st Reference Contact: Last Name *

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1st Reference Contact: Phone # *

1st Reference Contact: Email

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1st Reference Contact: Relationship *

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2nd Reference Contact: First Name *

2nd Reference Contact: Last Name *

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2nd Reference Contact: Phone # *

2nd Reference Contact: Email

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2nd Reference Contact: Relationship *

Emergency Contacts

Please provide name and contact information for who to contact in case of an emergency.

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1st Emergency Contact: First Name *

1st Emergency Contact: Last Name *

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1st Emergency Contact: Phone 1 # *

1st Emergency Contact: Phone 2 #

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1st Emergency Contact: Relationship *

Police Information Check *

I understand that if I am over the age of 18, I am required to obtain a Police Information Check with a vulnerable sector prior to commencing volunteer work.