Volunteer Application PHSS Volunteer Application Form Full Name(Required) Email(Required) Phone(Required) Address / City / Province / Postal Code(Required) Preferred Method of Contact(Required) Email Phone Call Text Areas of Interest - First Choice(Required)Physiotherapy / ExercisesReading / WritingCompanionshipPersonal CareArt / MusicSports / GamesOutdoors / GardeningAdvocacy WorkEvents / FundraisersOtherPlease rank by preference from 1 (first) to 10 (last)Areas of Interest - Second Choice(Required)Physiotherapy / ExercisesReading / WritingCompanionshipPersonal CareArt / MusicSports / GamesOutdoors / GardeningAdvocacy WorkEvents / FundraisersOtherPlease rank by preference from 1 (first) to 10 (last)Areas of Interest - Third Choice(Required)Physiotherapy / ExercisesReading / WritingCompanionshipPersonal CareArt / MusicSports / GamesOutdoors / GardeningAdvocacy WorkEvents / FundraisersOtherPlease rank by preference from 1 (first) to 10 (last)Previous Experience(Required)Please share your relevant skills and training (e.g. caregiving, public speaking, coaching, etc.)Resume(Required) Yes No Can you provide PHSS a resume?Resume UploadMax. file size: 512 MB.Period of Commitment(Required) 3-6 Months 6 Month - 1 Year Ongoing What is the duration of the volunteer commitment you are interested in?How did you hear about volunteer options at PHSS?(Required) Online Posting Word of Mouth Community Event Other Do you have a current vulnerable sector police check?(Required) Yes No Age Range(Required) I am over the age of 18 I am under the age of 18 Applicants under the age of 18 must have a parent/guardian contact PHSS and complete a signed hardcopy application - with a parent or guardian's signature.Acknowledgement & Authorization(Required) I agree Any information received during my volunteer period concerning the personal, financial or other private affairs of the consumer(s) of PHSS will be treated by me in strict confidence and will not be divulged. I also understand that the information that I have provided in this Application to Volunteer will be verified by PHSS. I hereby grant permission to PHSS to contact any persons who might be able to verify the information. The confidential information on this form is collected under the Health Protection and Promotion Act, R.S.O. 1990, c.H.7 and will be maintained on file. This information will be used for volunteer program planning purposes. If you require further information about this collection contact the Community Development Coordinator at (519) 615-0313
