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Volunteer Form
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Volunteer Application
Personal Information
First Name
*
Last Name
*
Nickname
Unit/Apt #
Address
*
City
*
Burnaby
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or other city:
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Postal Code
Phone 1 Type
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Cell
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Phone 1 #
*
Phone 2 Type
Cell
Home
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Phone 2 #
Email
*
Birth Date
*
mm/dd/yy
Gender
*
Female
Male
Health Concerns/Special Needs
*
Enter 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
*
Art Projects
Children's Art Camps
Fundraising
Galleries and Exhibitions
Recitals and Concerts
Special Events
Other program(s) you are interested in not listed above:
How did you hear about Volunteering at Place des Arts?
*
Current or Past PdA Student
Facebook
GoVolunteer.ca
Newspaper Article
Place des Arts Event
Place des Arts Program Guide
Place des Arts Website
Twitter
Word of mouth
Your School
Other
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 reasons to volunteer not listed above:
Do you speak any languages other than English?
List all and indicate what level.
What Special Skills or Qualifications do you have. Select all that apply.
*
Artistic/Creative Skills: Dance
Artistic/Creative Skills: Literary Arts
Artistic/Creative Skills: Music
Artistic/Creative Skills: Theatre Arts
Artistic/Creative Skills: Visual Arts
Babysitting Course
Experience volunteering with children's camps
Experience volunteering at events
Experience with food preparation
Experience working with ESL students
Experience working with students with special needs
First Aid Training
Serving it Right Certificate
Special Event Server Certificate
Other special skills or qualifications you have not listed above:
Previous Volunteer or Work Experience
*
References
Please provide name and contact information for a personal and professional reference.
Family may not act as references.
1st Reference Contact: First Name
*
1st Reference Contact: Last Name
*
1st Reference Contact: Relationship
*
Co-worker
Employer
Friend
1st Reference Contact: Phone #
*
1st Reference Contact: Email
2nd Reference Contact: First Name
*
2nd Reference Contact: Last Name
*
2nd Reference Contact: Relationship
*
Co-worker
Employer
Friend
2nd Reference Contact: Phone #
*
2nd Reference Contact: Email
Emergency Contacts
Please provide name and contact information for who to contact in case of an emergency.
1st Emergency Contact: First Name
*
1st Emergency Contact: Last Name
*
1st Emergency Contact: Phone 1 #
*
1st Emergency Contact: Phone 2 #
1st Emergency Contact: Relationship
*
Family
Friend
Guardian
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