Information given on this form will remain strictly confidential, and will not be sold or made available to a third party. Security safeguards appropriate to the sensitivity of any information you provide shall be in place to protect personal information.

Note: • symbol denotes required fields.

Personal Information:

Name: •
Email: •
Address: •
City: •
Province: •
Postal Code: •
Home phone number: •
Cell phone number:
Work phone number:
Age: 14-18 19-24 25-30 31-55 55+ •

Placement Program:

If you are taking part in an organization’s volunteer placement program, please give us the name of the program and contact information for the coordinator(i.e. Project Serve, Stewardship Rangers, etc.):

Areas of Interest:

Have you volunteered with the Ignatius Jesuit Centre before? •

yes no

Have you visited our property? •

yes no

I am interested in the following areas (check all that apply):

other:

Professional Experience:

Do you have any professional or life experience with any of the areas of interest selected above? (or you can attach your resume) •

yes no

If yes, briefly describe below:

Attach Resume (must be in MS word format):

Do you have a valid driver's license? •

yes no

Do you currently have first aid training? •

yes no

Availability:

Please indicate your current availability (most of our volunteer tasks are on weekdays, unless arranged otherwise through your supervisor):

Please indicate how often you would like to volunteer: •

Some Curious Questions:

Why are you interested in volunteering with the Ignatius Jesuit Centre? Please check all that apply.

other:

What do you hope to gain from your volunteer experience here? •

How did you hear about us?

other:

Other comments: