Volunteer Registration Form. Fields marked with
* 1. Do you have a valid driver's license?
2. Describe your work situation:
3. Please list present or previous volunteer experiences:
4. Why does volunteering with the Medicine Hat Women's Shelter Society
5. What special skills/training would you bring to the Medicine Hat Women's Shelter Society?
6. Do you speak any other languages? If yes, what languages?
7. Preferred age group to work with (check all that apply):
8. Medical/Physical Limitations we should know about?
* 9. Have you accessed the Medicine Hat Women's Shelter Society's services within the past 2 years?
* 10. What times are you interested
11. Are you available on short notice?
12. Identify areas of interest: Check all that apply:
Board Member/Board of Directors
13. How did you hear about us?
Referred by friend / volunteer
Referred by Volunteer Centre
14. List name and phone number of 3 references (not relatives):
* 15. Permission to Conduct Reference Check:
I , hereby authorize the
Medicine Hat Women's Shelter Society to contact the above
references in connection with my application.
I understand that I will be required to complete a Police information check,
child intervention check, oath of confidentiality, and an interview -
all as part of the screening process.
*** The personal information you provide will be used only for the purposes of managing
and administering the Medicine Hat Women's Shelter Society's volunteer program.
It is protected by the privacy provisions of the Freedom of Information and
Protect of Privacy Act. ***
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