Volunteer Application Form – Cancer Assistance Program

1

First Name

Last Name

2

Address

Address Line 1

Address Line 2

City

Province

Postal Code

3

Email

4

Phone/Mobile

5

Preferred Method of Contact

Choose as many as you like

6

Availability

7

Why have you chosen the Cancer Assistance Program to do volunteer work?

8

How did you hear about CAP?

Choose as many as you like

9

Are you currently employed?

Choose as many as you like

10

Are you currently volunteering?

Choose as many as you like

11

Please list any past volunteer experience. (Please include name of organization, position and years of service)

Shift ⇧ + Enter ↵ to make a line break.

12

What qualifications, skills or experience do you have that will be beneficial to the volunteer role you are applying for?

Shift ⇧ + Enter ↵ to make a line break.

13

What kind of time commitment are you looking for?

Choose as many as you like

14

Personal Reference 1 - First Name

Personal Reference 1 - Last Name

15

Personal Reference 1 - Email

16

Personal Reference 1 - Phone/Mobile

17

Personal Reference 2 - First Name

Personal Reference 2 - Last Name

18

Personal Reference 2 - Email

19

Personal Reference 2 - Phone/Mobile

20

I hereby authorize The Cancer Assistance Program to contact any or all of the references submitted for the purpose of processing my volunteer application. I understand that these references will be contacted in confidence. I hereby waive the right to request disclosure of personal references given about me. The Cancer Assistance Program reserves the right to request more references.

Choose as many as you like

21

I understand that a Criminal Record and Judicial Matter Check will be required to be submitted for review prior to starting in a volunteer position if I am 18 years of age or older.

Choose as many as you like

22

I acknowledge that this application does not guarantee acceptance into the program, and that The Cancer Assistance Program is under no obligation to accept or assign me as a volunteer and is not obliged to provide a reason.

Choose as many as you like