Become a Volunteer Volunteer sign up formVolunteer Application Form First NameLast NamePermanent Address CityCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePostal CodePhoneBirthdayEmailPerson to notify in case of emergency Emergency Contact 1NameRelationshipPhone #Emergency Contact 2NameRelationshipPhone #Tell us in which areas you are interested in volunteeringBoard of DirectorsEntertainerFoundation BoardFundraising CommitteeHidden TreasuresHome MakingHome MaintenanceMeals on WheelsOffice VolunteerReassurance CallsSpecial ProjectsTransportationAvailabilityWeekday morningsWeekday afternoonsWeekday eveningsWeekend morningsWeekend afternoonsWeekend eveningsDo you drive?VanCarTruck2 door4 doorA/CSmoking permitted in vehicle?Vehicle typeVehicle ColourSpecial Skills and Qualification's Summarize special skills and qualifications you have acquired from employment or through other activities, including hobbies or sports. Special Skills and QualificationsPrevious Volunteer Experience Have you had any previous experience as a volunteer?With what organizations?What kind of work did you do?Who were your supervisors? (please include contact numbers)Special ConsiderationsSummarize any special considerations Community Care for Central Hastings must be made aware of. Example: Cannot drive after sunset or cannot do any heavy lifting.How did you hear about usAnother VolunteerAgencyChurchClientDoctor’s OfficeFamily MemberFriendFrom EventHair DressersInternetMunicipal OfficeNewspaperOther AgencyPost OfficePostersRadio Seniors HomeOtherIf 'Other', Please specifyReferences Please list the names of two references (not relatives)Reference name #1NumberReference name #2NumberAgreement and SignatureI hereby declare that the foregoing information is true and complete to the best of my knowledge. I understand that a false statement may disqualify me from volunteering with Community Care for Central Hastings or cause my dismissal. I give permission to Community Care for Central Hastings to collect personal information appropriate to the position applied for and to contact my previous volunteer organization and references. YesSubmit
