Regeneration Thrift Store Volunteer Application

Please complete this application form and select one of the volunteer orientation dates if you are interested in becoming a Regeneration Thrift Store volunteer. Once you complete the form, click the Continue button at the bottom. Our volunteer coordinator will be in contact with you shortly.

If you are under the age of 16, please have your parent or guardian complete the permission form found on our website and return it to Regeneration.

Name and address

First name:

Last name:

Street 1:

City:

Province:

* Postal code: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

My availability is:

From:

to:

I would like to serve up to:

hours:

Times

Assignment

Date of birth

Everyone under the age of 16 must be accompanied by an adult while volunteering at Regeneration

Date of birth:

* (year optional)

Gender:

Education:

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

Recruitment appeals

Schedule reminders

Checklist reminders

Police Record Check

Are you willing to submit to a police record check?

Medical

Please list any allergies or medical conditions that we should be aware of

Emergency Contact

Please complete this information so that we know who to contact in case of emergency.

First name:

Last name:

Street 1:

City:

Province:

Postal code:

Home phone:

OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Email address:

Relationship:

References

Please provide us with two references.

1

2

Employer name:

First name:

Last name:

Work phone:

OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Cell phone:

OK to call here

Email address:

Relationship:

Availability

Please indicate what day(s) of the week that you are available to serve

Volunteer Information Centre (VicNet)

You can check yourself in for shifts through VicNet. Please enter the email address and password that you would like to use to login in to VicNet. Once you have been approved as a volunteer you can sign in to VicNet by:

1. Going to our website at www.regenthrift.com

2. Click on Volunteer Page

3. Click on 'Volunteer Portal'

Please enter a password that:

Is between 6 and 30 characters long
Contains both letters and numbers.

Password:

Confirm password:

Confidentiality

I hereby give Regeneration Thrift Store permission to verify the information provided by me in this volunteer application form and to contact the references and current and former employers listed above and to obtain and verify any information from them (and any other persons Regeneration Thrift Store determines might be able to provide relevant information) to my application.

I understand that if Regeneration Thrift Store approves my volunteer application and subsequently determines at any time that I am not suitable for volunteer position for which I am applying, Regeneration Thrift Store may terminate my volunteer services for any reason without advance notice.

I understand that Regeneration Outreach Community nor Regeneration Thrift Store are responsible for any lost or stolen personal items and will not hold them responsible should I lose anything of personal value.

I hereby acknowledge that, to the best of my knowledge, the information contained in this Regeneration Thrift Store Volunteer Application is true and correct.

I acknowledge and understand that it is my duty, as a volunteer of Regeneration, to uphold the rights and confidentiality of all information I gain from Regeneration. This includes, but is not limited to, information regarding our guests, other staff members, administration operations and any other information accessed through Regeneration's records.

I Agree