VOLUNTEER APPLICATION FORM
Thank you for your interest in volunteering with Reception House Waterloo Region. Please note, some programs have been postponed or adapted due to COVID19. When a position becomes available, we will contact you.
First Name: *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Preferred pronoun *
Email Address: *
Cell Phone Number: *
Other Phone number:
Address: *
City: *
Postal Code: *
Native Languages: *
Required
Other languages spoken fluently:
How did you hear about the volunteer programs at Reception House?
Have you ever been convicted of an offence under the Youth Criminal Justice Act or adult law? *
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