Volunteer Application

Thank you for your interest in volunteering with Bereaved Families of Ontario – Midwestern Region. Please take a moment to provide us with some information about you:

Volunteer position you are applying for

Contact Information:

First and Last Name

Address

City

Postal Code

Phone

Employment History:

Company/Organization #1

Position/Role

Dates

Company/Organization #2

Position/Role

Dates

Company/Organization #3

Position/Role

Dates

Volunteer History:

Organization #1

Position/Role

Dates

Organization #2

Position/Role

Dates

Organization #3

Position/Role

Dates

Please list the skills you possess which will be beneficial in the volunteer role you are applying for:

Availability:

How many hours per month (approx.) are you available to volunteer?

Are you available (please check all that apply):

Mornings Afternoons Evenings Weekends

Do you see yourself volunteering:

Less than one year More than one year

Please tell us why you would like to volunteer with Bereaved Families of Ontario – Midwestern Region:

Please provide contact information for three references (NOT family members or friends):

First and Last Name

Phone Number

Relationship to you

First and Last Name

Phone Number

Relationship to you

First and Last Name

Phone Number

Relationship to you

Please note that many of our volunteer positions require a vulnerable sector check. If one is required, Bereaved Families of Ontario – Midwestern Region will provide a letter outlining the nature of the role and why a record check is required.

By clicking this check box, you are confirming that the information you have provided is complete and accurate. The information on this application is collected to determine eligibility for Bereaved Families of Ontario – Midwestern Region volunteer opportunities and to safely, effectively, and responsibly implement our volunteer program in accordance with the Freedom of Information and Protection of Privacy legislation.

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