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DONATE: 5 Ways to Donate

Volunteer Application

The information in this application is collected to determine eligibility for the ATIRA WOMEN’S RESOURCE SOCIETY volunteer opportunities and to safely, effectively, and responsibly implement our volunteer program in accordance with the Freedom of Information and Protection of Privacy legislation.

Applicant

Salutation:

Ms.

Miss.

Mrs.

Mr.

Name: *

Mailing Address: *

City/Town: *

Postal Code: *

Telephone:

E-mail:

Emergency Contact

Salutation:

Ms.

Miss.

Mrs.

Mr.

Name:

Relationship:

Telephone:

Educational Background

High School (Last Grade Completed):

Post Secondary(s) (one on each line):

Other Certification(s) (one on each line):

Relevant Courses/Workshops (one on each line):

Life Experience

ATIRA recognizes an individual’s lived and personal experience is often as valuable as a formal education and work experience. Please articulate any experience you wish Atira to know about when considering your application for a volunteer position.

Previous Volunteer Experience

Place:

Date of Commitment:

Assignment/Duties:

Interest/Hobbies/Activities

Please list:

Any additional information you would like to bring to our attention?:

References

Salutation:

Ms.

Miss.

Mrs.

Mr.

Name:

Relationship:

Telephone:

I give my permission to contact the above individual of my volunteer commitments.

Salutation:

Ms.

Miss.

Mrs.

Mr.

Name:

Relationship:

Telephone:

I give my permission to contact the above individual of my volunteer commitments.

Salutation:

Ms.

Miss.

Mrs.

Mr.

Name:

Relationship:

Telephone:

I give my permission to contact the above individual of my volunteer commitments.

General Information

What type of volunteer work are you interested in?:

Is there a particular Atira program you are interested in volunteering with? Please explain why. :

How much time do you feel you have available to volunteer? (i.e. hours per week):

Why do you want to volunteer at ATIRA WOMEN’S RESOURCE SOCIETY?:

How did you hear about the volunteer opportunities that are available at the ATIRA WOMEN’S RESOURCE SOCIETY?:

Atira is looking for a six-month commitment from volunteers. Does this meet with your expectations?:

Yes

No

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© 2011 Atira Women's Resource Society.