Volunteer Application Form

Thank you very much for your interest! Please complete and submit this form.

CONFIDENTIAL

Please put your needs first. If you are currently experiencing, or have recently experienced a stressful life event please place your need for support above the desire to give your support at this time.

First name*

Last name*

Street address*

City*

Postal code*

Home Telephone Number*

Cell Telephone Number*

Email Address*

What experience have you has as a volunteer?*

Do you possess any special skills or abilities that will be helpful to you as a volunteer? If so, what are they?*

Why do you wish to volunteer with our agency?*

How did you find out about the volunteer opportunities with Distress Centre Niagara?*

Which program do you have an interest in volunteering with?*

When would be a convenient time to contact you to further discuss your interest in volunteering with the Distress Centre Niagara?*

How can we reach you?*

Please Note:

Upon confirmation of attending the classroom training, you will be asked to provide 3 references. These references can be either personal or professional. Examples of appropriate references are employers (past & present), co-workers, teachers, supervisors from other volunteer work etc. (no family references please). We ask that all references have known you for at least one year.