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).