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 homelands of the Musqueam, Skxwú7mesh, and Tsleil-Waututh nations.
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Email Address
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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 • Other
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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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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
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12 or under
13-18
19-39
40-64
65+
What language(s) do you speak?
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