Volunteer Information and Application Form
Transcription
Volunteer Information and Application Form
Volunteer Information and Application Form Seniors Housing Our Mission To ensure seniors have the opportunity to enjoy a community oriented lifestyle, a home environment and a sense of well being by providing affordable, quality residences including supportive services delivered by dedicated and qualified people. Our Purpose To enhance the lives of our residents by promoting the integration of residents, staff, and community through participation in volunteer activities. Do you... • have special skills and talents that you would like to share? • want to make a difference in the life of a senior? • want to gain valuable experience? • want to give something back to your community? • want to meet new people and have a lot of fun? To find out more about volunteering with GEF, call 780-482-6561 To apply, fill in the attached form and mail or fax to: Seniors Housing 14220-109 Avenue Edmonton, AB T5N 4B3 Phone: 780-482-6561 Fax: 780-488-3561 www.gef.org Volunteer Application Form Personal Information Name: (please print) _______________________________________________________ Address:_________________________________________________________________ City:_____________________________________ Postal Code:_____________________ Phone:_________________________ Email:____________________________________ Briefly describe why you are interested and what you hope to accomplish as a GEF Seniors Housing volunteer. ________________________________________________________________________ ________________________________________________________________________ What types of volunteer opportunities are you interested in? (Please check) � Administrative � Outings � Bingo � Fitness & Wellness � Special Events � Games Assistant � Fundraising Events � Other Opportunities: ________________ ________________________________________________________________________ Location & Availability At what site(s) are you interested in volunteering? _______________________________ What days and times are you available for volunteering? ________________________________________________________________________ ________________________________________________________________________ I am available to volunteer for approximately ______ hours each week. I can make a commitment of ___________________ (6-month commitment preferred) How did you hear about our volunteer program? � Advertisement � Friend � GEF � Volunteer Centre � Other_________________________________________________________________ Background Information Education/Training: ________________________________________________________________________ ________________________________________________________________________ Present Occupation/Employment History: ________________________________________________________________________ ________________________________________________________________________ Hobbies/Skills/Interests: ________________________________________________________________________ ________________________________________________________________________ Previous/Current Volunteer Experience: ________________________________________________________________________ ________________________________________________________________________ References Please provide the names of two persons as references (employment or education contacts are preferred) Name: __________________________________________________________________ Home Phone:_________________________Other Phone:_________________________ Relationship to you:________________________________________________________ Name: __________________________________________________________________ Home Phone:_________________________Other Phone:_________________________ Relationship to you:________________________________________________________ I authorize GEF Seniors Housing to obtain references from the individuals listed above, and I certify that the information I have provided is true and complete to the best of my knowledge. Applicant Signature:_________________________Date:__________________________ Please note that if you are successful in obtaining a volunteer position, a security clearance check is required under the Protection for Persons in Care Act prior to the volunteer placement. (The fee for security clearance checks is waived for volunteers with a letter from GEF Seniors Housing to the Edmonton Police Service).