VOLUNTEER APPLICATION

Women applying to become In-House Volunteers, Childcare or Special Service volunteers working in the house must be sober for at least two years. In accordance with the ON Criminal Records Review Act, implemented on January 1, 1996, a criminal record check is mandatory for anyone who works with children in organizations that receive operating funds from the provincial government. Thus, criminal record checks are required from all potential volunteers working out of the house and for Community Office volunteers.

House of Sophrosyne is committed to protecting the privacy of personal information in our possession or under our control in accordance with the Personal Protection Act (PIPA). PIPA regulates the way we collect, use, keep, secure and disclose personal information. The information in the application is used for appropriate volunteer placement. This information is stored in a locked cabinet.

Name:

Address:

City:

Postal Code:

Phone: ( Res )

( Mobile )

( Work )

Email:

Do you speak, read or write any other language?

How did you find out about our volunteer program?

When are you available for training?

Evenings

Daytime

Days

Sundays

Which volunteer role(s) interest you the most?

1. Please describe your understanding of the services and programs offered by House of Sophrosyne:

2. Why have you chosen to volunteer with HOS and what do you hope to gain from this experience?

3. What do you expect will be the most difficult aspect of volunteering at the HOS?

4. What personal skills, training, work and volunteer experience do you have that you feel makes you a suitable candidate for this volunteer role and/or that would benefit the HOS?

5. If you are selected for the training, are you able to make the time commitment?(Missing any of the sessions or not successfully completing the required assignments may make you ineligible to become a Volunteer).

6. If you were unable to attend the next training session, would you like to be considered for future training sessions?

7. Please indicate any medical conditions we should be aware of e.g. challenges in accessibility, disability, allergies, etc.

8. Please provide us with the names of two individuals who would provide a personal, work or volunteering reference for you. They should be someone not related to you.

Name:

Title:

Agency/Company: ( if Applicable )

Phone #:

Email:

Relationship to you:

Name:

Title:

Agency/Company: ( if Applicable )

Phone #:

Email:

Relationship to you:

9. By signing and submitting this Volunteer Application, I acknowledge this information is true and accurate. I authorize House of Sophrosyne to obtain references from the individuals listed above.

Signature

Date