Volunteer Application- Nanaimo Disability Resource Centre
Application for volunteering at the Nanaimo Disability Resource Centre. We thank you for your interest in becoming a volunteer!
Email address *
Full name *
Birth Date
MM
/
DD
/
YYYY
Gender
Clear selection
Address
City
Postal Code
Phone number (xxx) xxx xxxx
Type of phone
Alternate phone number
Type of phone
Best time to reach you
Are you willing to undergo a criminal record check *
Do you have:
Are you living with a disability
Clear selection
If yes, do you require any particular accommodations as a volunteer
Emergency Contact Name
Emergency Contact Phone Number
Relationship to Emergency Contact
Do you speak ASL (American Sign Language)
Clear selection
What languages do you speak?
What languages can you write?
How Many Hours are you Available to Work at NDRC?
Clear selection
What Time of Day are you Available?
What Days are you Available?
Reason for Volunteering
Areas of Interest (Check all that apply)
Previous Volunteer Experience (where + how long)
Highest Level of Education completed?
Clear selection
Subject of Degree or Special Training
Skills
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