Volunteer Application Form
Gordon Neighbourhood House
1019 Broughton St. Vancouver, BC V6G 2A7
604-683-2554

We acknowledge that Gordon Neighbourhood House is located on the unceded, occupied, ancestral and traditional lands of the Musqueam, Skxwú7mesh, and Tsleil-Waututh nations.

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Preferred name (what do you like to be called?)
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Name (given name and family name) *
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Gender Pronoun (Please call me _________)
Please use the following pronouns • She/Her • He/Him • They/Them • __________________
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Address (please include postal code) *
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Preferred Phone *
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Alternate Phone
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Email Address
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Emergency Contact Name, and Relationship *
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Emergency Contact Phone *
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Allergies/Health Considerations
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Birthday (Optional)
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Age *
What language(s) do you speak?
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