Volunteer Application Form Name * First Name Last Name Email * Phone * (###) ### #### Date * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country In Case of Emergency Contact Emergency Contact Name * First Name Last Name Emergency Contact Phone * (###) ### #### Relationship to Emergency Contact * Volunteer Locations * Stratford Mitchell St. Marys Volunteer Opportunities Below is the list of the areas available. Please select any that are of interest to you. Christmas Kettles Months of November & December Kettle Worker – Greets people at one of our kettles. Driver – Checks on kettle workers/small pick-ups, etc. Christmas Toy Depot Months of November & December Setup Crew – Sorts toys and stocks shelves Personal Shopper / Toy Packer Christmas Food Hamper December Hamper Helper – Receives and fetches hampers for pick-up Food Drive Worker Greet people at drop off location Food Bank Help with sorting food, stocking shelves, packing bags, etc. Thrift Store Help with various tasks around the store, which may include: stocking shelves, cleaning, sorting items, etc. Income Tax Clinic March to October Assist in filing income tax returns for low-income households Availability Available Anytime If you selected 'Available Anytime', you do not need to indicate specific days or times available Monday Morning Afternoon Evening Tuesday Morning Afternoon Evening Wednesday Morning Afternoon Evening Thursday Morning Afternoon Evening Saturday Morning Afternoon Evening Length of Volunteer Commitment Less than 6 months More than 6 months Special Event / Project Previous Volunteer Experience Educational / Training Background Employment Experience How did you hear about our program? Skills you have to offer Works well with others Computer Knowledge Physically Fit Creative Thinking Office Procedures Organizational Skills Drive a Vehicle Other Skills Reasons for Volunteering Skill / Career Development Lean New Skills Want to Keep Busy Meet People School / Course Credits Help Others Community Service Hours Other Reason for Volunteering References Please supply two references other than family members First Reference Name * First Name Last Name First Reference Phone * (###) ### #### Relationship to First Reference * Second Reference Name * First Name Last Name Second Reference Phone * (###) ### #### Relationship to Second Reference * Agreement * If accepted as a Salvation Army volunteer, I agree to the following (applicants must select all requirements listed below): To participate in designated training session when provided to help my volunteer assignment. To maintain strict confidentiality. To wear required identification when on duty. To adhere to the smoke free environment. To support the principles of The Salvation Army and the implementation of the mission of The Salvation Army while on duty as a volunteer. To give The Salvation Army permission to contact the above named references. To agree to a police check and driver’s record if necessary. To fulfill the volunteer hours agreed upon. To provide my time and service without remuneration. The Salvation Army Stratford-St. Marys Regional Community Ministries Volunteer Program Waiver of Liability The Salvation Army agrees to treat all volunteers with dignity and respect, having due regard for their personal safety and their personal property while they are serving as volunteers. To that end, The Salvation Army will take reasonable steps necessary to ensure a safe and secure working environment for all individuals, including volunteers. While volunteers will not knowingly be placed in unsafe situations or exposed to unnecessary risk, it is recognized that accidents or losses occasionally happen which cannot be attributed to any fault on the part of any one individual or organization. The purpose of this document is to release The Salvation Army from liability for accidents, injuries, losses and damage which may occur in the course of providing volunteer services, where such accidents, injuries, losses or damage are not caused by negligent acts or omissions on the part of The Salvation Army. As a volunteer participant in the delivery of Salvation Army programs and services, I agree to the following (select all): * The Salvation Army will not be required to compensate me for any harm or loss suffered as a result of my participation in the provision of volunteer services, whether that be harm such as illness, injury or death, or loss of or damage to personal property unless such harm or loss is caused by negligent acts or omissions on the part of The Salvation Army or those for whom it is legally responsible. I relinquish any right I might have to claim compensation from The Salvation Army for any harm or loss suffered by me in connection with the provision of volunteer services except if such harm is caused by negligent acts or omissions of The Salvation Army or those for whom it is legally responsible. Any reference to The Salvation Army in this document shall include The Salvation Army Canada and Bermuda Territory, The Governing Council of The Salvation Army in Canada, and all associated charities, divisions and unincorporated associations, as well as all officers, employees and volunteers of any of them. I fully understand and agree to the terms set out in this document and I am signing it voluntarily. Volunteer Name * First Name Last Name Witness Name * First Name Last Name Date * MM DD YYYY Thank you – your application has been submitted.