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:*
Your Name*
First Last
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Employment History
Company/Organization #1
Positon/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
Skills & Availability
Please list the skills you possess which will be beneficial in the volunteer role you are applying for:*
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 a year
- More than a year
Please tell us why you would like to volunteer with Bereaved Families of Ontario – Midwestern Region:*
References
Please provide contact information for three references (NOT family members or friends):
Reference #1 Name*
First Last
Phone*
Relationship to you*
Reference #2 Name*
First Last
Phone*
Relationship to you*
Reference #3 Name
First Last
Phone
Relationship to you
Consent
I agree
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.

Employment History

Volunteer History

Skills & Availability

References

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