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 *
Your answer
Birth Date
MM
/
DD
/
YYYY
Gender
Address
Your answer
City
Your answer
Postal Code
Your answer
Phone number (xxx) xxx xxxx
Your answer
Type of phone
Alternate phone number
Your answer
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
If yes, do you require any particular accommodations as a volunteer
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Relationship to Emergency Contact
Your answer
Do you speak ASL (American Sign Language)
What languages do you speak?
Your answer
What languages can you write?
Your answer
How Many Hours a Week are you Available to Work at NDRC?
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)
Your answer
Highest Level of Education completed?
Subject of Degree or Special Training
Your answer
Skills
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