Once you have completed this application, contact the Coordinator of Volunteer Services at 780.428.7590 to arrange an appointment for your initial interview.


NAME:(last) (first) (middle, no initials)
ADDRESS: CITY: POSTAL CODE:
PHONE:(H) (W) Email ADDRESS:
In Case of Emergency Contact:
NAME: PHONE:
ADDRESS: RELATIONSHIP TO YOU:


EDUCATION AND EMPLOYMENT: Please submit a current resume with this application


A PREVIOUS VOLUNTEER EXPERIENCE: Please list the organizations you have volunteered with, when you began and when you left.

ORGANIZATION: DATE:
POSITION AND RESPONSIBILITIES:
ORGANIZATION: DATE:
POSITION AND RESPONSIBILITIES:
ORGANIZATION: DATE:
POSITION AND RESPONSIBILITIES:

B. What volunteer position(s) are you interested in?
C. What special skills, interests or hobbies do you have?
D. If you are applying for a tutoring position, please list the subjects that you are strong in and which grade levels you would feel comfortable tutoring.
E. When are you available to volunteer? (Please check all that apply)
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Mornings Afternoons Evenings
G. We request a minimum commitment of one year. Is there any reason that you would be unable to meet this minimum commitment?
H. Do you speak any language(s) other than English? If so please specify.
I. If you have special needs we should be aware of, please specify.

Please provide the names of three references who have known you for at least one year (no immediate family members please): one professional, one personal, and one volunteer, with weekday phone numbers.
Professional
Name: Organization: Position:
Phone: Alternate phone: Email Address:
Personal
Name: Organization: Position:
Phone: Alternate phone: Email Address:
Volunteer
Name: Organization: Position:
Phone: Alternate phone: Email Address:
Are these individuals aware that you have listed them as references?
Yes No

I understand Edmonton John Howard Society will be conducting a criminal record check and will be contacting the references I have given.
Name: Date:

Contact the Edmonton
John Howard Society

#401, 10010 105 St.
Edmonton, AB T5J 1C4

Tel: 780.428.7590
Fax: 780.425.1699

mail@johnhoward.org