The Elizabeth Fry Society of Ottawa
Volunteer
Application Form
[Revised February 14, 2008]
Please
complete and return this application by mail, fax, or in person to the Volunteer
Coordinator. Phone: (613) 231-2798 |
[Return
to the Elizabeth Fry website Volunteer page]
[Return
to the Elizabeth Fry website Home page]
Personal Information: (please print clearly)
Name:_________________________________________
Date of Birth: (mm/dd/yyyy) ________/_______/________
Address: _____________________________________________________ Apt: ______________ City: ______________________ Province: ______________
Postal Code: ____________
Phone: Day ( ) ___________________ Evening ( ) ___________________
Email: ______________________________________________________
Emergency Contact: __________________________________ Phone: ( ) ___________________
How did you hear about The Elizabeth Fry Society and our volunteer opportunities?
_____________________________________________________________________________________
_____________________________________________________________________________________
Describe any paid or volunteer experience that may contribute to your volunteer experience with The Elizabeth Fry Society
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please indicate your program interests:
A. Direct Services
--- Court Support
---
Detention Centre Visitor
--- JF Norwood House
B. Other Interests
---
Administration
--- Driver
--- Special Events Planning/ Fund-raising
---
Public Speaking
Language Skills:
English: Speak_____ Read_____ Write_____
French: Speak_____ Read_____ Write_____
Other:
_________________________
Personal
What are your goals and objectives that you hope to meet from your volunteer experiences? _____________________________________________________________________________________
_____________________________________________________________________________________
Which of your personal strengths will you draw upon for your volunteering experience? _____________________________________________________________________________________
_____________________________________________________________________________________
What concerns, if any, do you have about your volunteer commitment?_____________________________________________________________________________________
_____________________________________________________________________________________
Please provide two references:
1. Name: __________________________________ Phone:( )__________________________
2. Name: __________________________________ Phone:( )__________________________
Please read and sign the following:
I certify that the statements made by me in this application form are true and complete to the best of my knowledge.
Name (please print): _____________________________________
Date: ______________________________
Signature: ___________________________________
[Return to the Elizabeth Fry website Volunteer page]
[Return to the Elizabeth Fry website Home page]
| The Elizabeth Fry Society of
Ottawa #311-211 Bronson Avenue, Ottawa, ON K1R 6H5 Tel: (613) 237-7427 Fax: (613) 237-8312 info@efryottawa.com |