Volunteer Application

Ministry(*)

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Date Available to Start(*)

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End Date(*)

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Exceptions to Dates above

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Applicant's Name(*)

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Occupation(*)

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Permanent Address(*)

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City(*)

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Province(*)

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Postal Code(*)

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Phone Number(*)

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Email Address(*)

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Fax Number

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Provincial Health Number(*)

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Emergency Contact Information

Name of Parent or Legal Guardian(*)

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Parent or Legal Guardian's Phone Number(*)

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Emergency Contact Name(*)

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Emergency Contact Phone Number(*)

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Responsibilities(*)

I have been advised of the responsibilities of my position and understand that I am directly answerable to the Director. I further understand and have been advised of the amount of remuneration due me (if applicable). I agree to work in harmony with those around me and to respect the rules, regulations, policies, procedures and religious beliefs of One Hope Canada along with the Ministry Point I am applying to.

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Regulations(*)

I further understand that, given the sensitive nature of working with and around children, and the expectation of society and regulatory bodies and insurers, One Hope Canada requires this application, current references, and criminal records, and abuse registry checks on file for “ALL” personnel.

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References

Please provide 3 references. One Pastor or employment supervisor and two other adult acquaintances over 25 years of age that are not relatives.

Pastor Or Employment Supervisor Reference

Name(*)

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Relationship(*)

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Address(*)

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Province(*)

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Phone Number(*)

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City(*)

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Postal Code(*)

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First Adult Acquaintance Reference

Name(*)

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Relationship(*)

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Address(*)

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Province(*)

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Phone Number(*)

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City(*)

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Postal Code(*)

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Second Adult Acquaintance Reference

Name(*)

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Relationship(*)

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Address(*)

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Province(*)

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Phone Number(*)

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City(*)

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Postal Code(*)

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References(*)

I hereby provide the names and full addresses of my Pastor or employment supervisor and two other adult acquaintances over 25 years of age that are not relatives. I have informed my references that I have used their name and asked that they provide a quick response.

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Declaration(*)

I declare all this information to be accurate to the best of my knowledge. I hereby authorize One Hope Canada access to information with respect to my person from Police/Child Abuse registry files.

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(*)

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Emergency Contact Information

Permission & Consent

References