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Youth

Home
About
Volunteers
Donate
Humankind Gift Shop
Housing
Farm
Youth

Create your Volunteer Profile

Name of Ministry applied for (Check all you are interested in):

De Mazenod Door –Kitchen:

De Mazenod Door –Farm:

Personal Information

(applicants under 18 must complete a consent form)

Title

Name of Volunteer (Print)

Address:

City:

Postal Code:

Phone No

Email Address

Number of years at current address:

Address

City

Postal Code:

Relavant Experience

Role:

Organization:

Date:

Role:

Organization:

Date:

Role:

Organization:

Date:

Role:

Organization:

Date:

Other relevant experience:

Are you completing mandatory volunteer hours:

Yes

If yes, please explain:

How many hours?

By which date?:

Do you have Vulnerable Sector Check completed within the last 12 months?

Yes

Availability

How often are you available to volunteer?

Daily

Weekly

Bi-Weekly

Monthly

Special Occasions

On-Call/Casual

Custom(please share your availability):

What time of day are you able to volunteer (please check all that apply)?

Days

Evenings

Weekends

Afternoons

Anytime

Consent For Reference Check

Please provide three (3) references – friends, professionals, work or volunteer associates or ministry leaders.

I, , authorize De Mazenod Door Outreach staff to contact the references I have provided to collect personal information appropriate to the volunteer position for which I have applied. I understand the information obtained from the reference check will be kept confidential.

Date

Volunteer Signature:

Reference Check

Reference 1

Name of Reference:

Address:

Phone:

City:

Postal Code:

Relationship to Reference:

Reference 2

Name of Reference:

Address:

Phone:

City:

Postal Code:

Relationship to Reference:

Reference 3

Name of Reference:

Address:

Phone:

City:

Postal Code:

Relationship to Reference:

Reference 4

Name of Reference:

Address:

Phone:

City:

Postal Code:

Relationship to Reference:

Emergency Contact Details 1

Name

Address

Telephone (Residence)

Relationship to Volunteer

Emergency Contact Details 2

Name

Address

Telephone (Residence)

Relationship to Volunteer

Volunteer Signature:

Date

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