Volunteer Form First Name * Last Name * Middle Name Address * City * Postal Code * Email Telephone (Home) (Work) (Cell) Gender * Female Male Martial Status Single Married Age Range * 20 - 24 25 - 64 65+ Were you born outside of Canada? Yes No If yes, what is your status? Citizen Landed Immigrant Conventional Refugee Other Language Spoken English French Italian Arabic Cantonese Greek Hindi Polish Punjabi Spanish Turkish Somali Mandarin Other If Other, please specify: Education (High School Level Completion) Grade 9 Grade 10 Grade 11 Grade 12 Grade 13 (Community College Level Completion) Year 1 Year 2 Year 3 Year 4 (University Level Completion) Year 1 Year 2 Year 3 Year 4 (Trade School Level Completion) Year 1 Year 2 Year 3 Year 4 Degrees Obtained Programs you wish to volunteer for: ESL Assistant Food Club/Food Bank Community Office Assistant/Reception Community Kitchen Outreach Child Care Assistant (In Case of Emergency please notify) Name * Address * Telephone (Home) (Cell) * (Work) Terms and Conditions * I understand that any falsification of the information in this application could result in the cancellation of my volunteer placement Date Why do you want to volunteer with Delta Family Resource Centre? What would you like to learn? Have you done any volunteer work in the past? If so, what type(s)? What are your hobbies, skills and other interests? Which days/times are you available to volunteer? Do you have any allergies, medical conditions we need to know about?