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:

Street 1:

City:

Province:

* 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:

* (year optional)

Gender:

Education:

Availability

Please indicate the days and times you are available to volunteer.

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

I would like to serve up to:

hours:

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:

Home phone:

Work phone:

Cell phone:

Relationship:

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:

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