Student Volunteer Application

First Name

Last Name

Address:

Street Address

Address Line 2

City

Province
—Please choose an option—AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code

Contact Information:

Home Phone

Work Phone

Your Email (required)

Student Information:

Are you 16 or older? (required)
Students must be a minimum of 16 years of age.
YesNo

School Name
Secondary or Post Secondary.

Grade/Year

Major

Emergency Contact:

First Name

Last Name

Phone

Interests and Experience:

Please list your special skills that you feel would be useful
e.g. Courses taken, hobbies, etc

Previous volunteer experience

Occupation

Previous work experience

Physical limitations
e.g. Hearing, lifting, walking, standing, other

Availability:

Time of Day
MorningAfternoonEvening

Days Available
MondayTuesdayWednesdayThursdayFridaySaturday

How did you hear about Grandview?

Why do you want to volunteer at Grandview?

References:

Please supply the names of three persons whom we may contact for a reference, excluding family members.

Reference #1 Name

Reference #1 Phone

Reference #1 Email

Reference #2 Name

Reference #2 Phone

Reference #2 Email

Reference #3 Name

Reference #3 Phone

Reference #3 Email

Finish:

I authorize Grandview Children’s Centre to check references listed on my application form. I agree to comply with the policies and procedures of Grandview Children’s Centre. (required)
I Agree