Volunteer Application Form

    Personal Information

    Full Name

    First Name
    Last Name

    Contact Email

    Contact Phone Number

    Preferred method for correspondence

    [radio* preferred-method-for-correspondence use_label_element default:1 "Email" "Phone"]

    Your Address

    Street address

    Street Address Line 2

    City
    Province
    Postal Code
    Country

    Date of Birth (yyyy-mm-dd)

    This information is not mandatory. Information regarding birthdates is collected to assist in planning and for securing funding for training and resources. i.e. some funding is available to specific age groups. It is personal information, and therefore is protected by privacy legislation. It will not be published or shared, except in anonymous aggregate forms when reporting to funders, authorities, or similar parties.

    Church affiliation (if applicable)

    Skills and Qualifications

    Please check all skills/qualificiations/experiences that apply:

    Please list your other skills, interests, experience or qualifications that you think are relevant to the position or our organization:

    What are you good at?

    Is there anything you can’t physically do, or want to avoid doing for health or personal reasons?

    How did you hear about Island Crisis Care Society?

    Emergency Contact

    First Name
    Last Name

    Emergency Contact Email

    Emergency Contact Phone Number

    Emergency Contact - Relationship to you

    Briefly describe any previous volunteer experience

    Please include durations you volunteered as well.

    What do you feel will be the most rewarding part of the volunteer experience?

    What type of volunteer time commitment are you interested in?

    Choose from the drop-down menu.


    I verify all information I have provided is true.

    Please sign in the field below with your mouse.