Volunteer Application Form
Volunteer roles are limited at this time but still very much needed.
Please complete this application form if you are interested in becoming a Northwood Volunteer at any of our Northwood locations. Once you complete the form, click the submit button at the bottom.
Once completed, you will be contacted by Volunteer Resources to schedule an appointment. Please note that completing a volunteer application and attending an interview does not guarantee a volunteer placement. Furthermore, volunteers aged 18 and over will be required to complete a satisfactory criminal record check before they may begin volunteering.
Name and address
Please include you first and last name / complete mailing address.
First name:
*
Last name:
*
Title:
Choose
Deacon
Dr.
Judge
Miss
Mr.
Mr.&Mrs.
Mrs.
Ms
Ms.
Rev.
Sister
The Honourable
*
Street 1:
*
City:
*
Province:
Choose
N.S.
Nova Scotia
NS
NS, Canada
PEI
*
Postal code:
*
Home phone:
OK to call me here
Work phone:
OK to call me here
Email address:
Demographic Information
You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
*
(year optional)
Gender:
Choose
Female
Male
Non-binary Gender 'X'
Prefer not to say
*
Education:
Choose
Associate degree
B.Arts
B.Com.
B.Eng
B.Med.
B.Phys.Ther.
B.PR
B.Sc.
Broadcasting Arts
Bus. Admin
Business college
CA
CNA
College degree
Doctoral degree
Food and Nutrition
GED
Grade 10
Grade 11
Grade 12
Grade 7
High school
IT
Journalism
Law
M.A Mission studies
Marketing
Massage therapy
Master Env.Studies
Masters Degree
MBA
Microbiology
Minister
Nurses aid
Nursing
PCW
Pharmacy
Phd. Eng
Phil and History
Physics
RN
Secretarial
Social work
Some college
Teacher
Technical school
Trade/Vocational school
University degree
Vet
Weapons technican
Availability
Please indicate the days and times you are available to volunteer.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
From:
12:00am
12:15am
12:30am
12:45am
1:00am
1:15am
1:30am
1:45am
2:00am
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1:00pm
1:15pm
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2:00pm
2:15pm
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10:15pm
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10:45pm
11:00pm
11:15pm
11:30pm
11:45pm
12:00am
To:
12:00am
12:15am
12:30am
12:45am
1:00am
1:15am
1:30am
1:45am
2:00am
2:15am
2:30am
2:45am
3:00am
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4:00am
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4:45am
5:00am
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5:45am
6:00am
6:15am
6:30am
6:45am
7:00am
7:15am
7:30am
7:45am
8:00am
8:15am
8:30am
8:45am
9:00am
9:15am
9:30am
9:45am
10:00am
10:15am
10:30am
10:45am
11:00am
11:15am
11:30am
11:45am
12:00pm
12:15pm
12:30pm
12:45pm
1:00pm
1:15pm
1:30pm
1:45pm
2:00pm
2:15pm
2:30pm
2:45pm
3:00pm
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3:30pm
3:45pm
4:00pm
4:15pm
4:30pm
4:45pm
5:00pm
5:15pm
5:30pm
5:45pm
6:00pm
6:15pm
6:30pm
6:45pm
7:00pm
7:15pm
7:30pm
7:45pm
8:00pm
8:15pm
8:30pm
8:45pm
9:00pm
9:15pm
9:30pm
9:45pm
10:00pm
10:15pm
10:30pm
10:45pm
11:00pm
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11:45pm
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1:00am
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2:00am
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I would like to serve up to:
*
hours:
Choose
Daily
day
Monthly
One time
week
Weekly
*
Email Preferences
We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.
What kinds of email would you like to receive?
Electronic newsletters
LIFE Magazine
Recruitment appeals
Work or Volunteer experience
Please enter your most recent work or volunteer experience.
Education
Please list your most recent education.
Emergency Contact
In the event of an emergency who should we contact?
First name:
Last name:
Title:
Choose
Deacon
Dr.
Judge
Miss
Mr.
Mr.&Mrs.
Mrs.
Ms
Ms.
Rev.
Sister
The Honourable
Home phone:
Work phone:
Cell phone:
Relationship:
Choose
aunt
aunt and uncle
boyfriend
brother
counsellor
Co-worker
Daughter
Father
Friend
grandfather
grandmother
guardian
husband
Mom
Mother
Neighbor
parents
Partner
professional
residential counsellor
sister
Son
Spouse
Supervisor
Wife
References
Please give us the name and telephone numbers of 2 people that are not relatives, that can provide a reference for you.
1
2
First name:
*
First name:
*
Last name:
*
Last name:
*
Home phone:
OK to call here
Home phone:
OK to call here
Work phone:
OK to call here
Work phone:
OK to call here
Location
Please indicate if you prefer to volunteer at the Halifax location, Bedford, or both.
Interests or Special Skills
Please list any hobbies or special skills you may have (e.g musical talent, sports, crib, gardening, or any specialized training you may have)
Skills:
*
Working with older persons
Most positions at Northwood will require you to volunteer with older people. How do you feel qualified to volunteer in this environment?
Please note any experience you have working with individuals with dementia or other Chronic disorders.
Criminal Records Check
As part of our screening process you will be asked to complete a criminal records check. A form will be provided to you during your interview. The cost will be reimbursed.
I understand and agree that submitting this application form does not automatically register me as a Northwood Volunteer Resources volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.
By submitting this form, I attest that the information I have provided on the form is true and accurate.
I Agree
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