Online Volunteer Application: Special Events

Section 1

Name*

First Last

Address*

Street Address City Province Postal Code

Email*

Primary Phone Number*

Section 2

Emergency Contact Name*

First Last

Relationship*

Phone Number*

Section 3

Why would you like to volunteer with events at Good Shepherd?*

Section 4

Have you ever used the services or programs of Good Shepherd?*

Yes

If so, where?

When?

Section 5

Please check your age category below.*

Please note that some volunteer positions are for 18+ years of age.

14 - 17 years of age

18 years of age

19 years of age or older

Section 6

When are you able to volunteer?*

Please check time slots that are applicable.

Daytime

Evenings (after 6 p.m.)

Weekends (days and evenings)

Section 7

Some special event opportunities require proof of 2 valid doses of the Covid-19 vaccine. Please note that you may be asked to provide one upon request.

Vaccination Status

In order to strengthen and promote health protection to patients/clients/staff and members of the public attending in our facilities, offers of volunteer status will be conditional on furnishing proof of Covid-19 vaccination (all recommended doses) from the Ontario Ministry of Health website or other authorized source and volunteering shall not take effect until after such proof is furnished to the Volunteer Department. In the event that a prospective volunteer is unable to be vaccinated as a result of a ground protected under the Human Rights Code, applicants may submit a written explanation of the ground and any supporting documentation to determine if they are exempt from this requirement.

Are you able to comply to the above requirement, with the noted exceptions?

Yes

Signature of Applicant

First Last

Signature of Parent/Guardian (if under 16)

First Last

Date

Printed Name

First Last

Date

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