Petawawa 150th Volunteer Application
Applicant’s Name: ____________________________________________________________
Contact Information
Mailing address: ______________________________________________________________
Town: ______________________________ Prov.: ____________Postal Code: __________
Email: __________________________________________________________________
Home Phone: ________________________ Cell Phone: ______________________________
T-Shirt size: ( ) Small ( ) Medium ( ) Large ( ) Extra Large
Emergency Contact
Name: ______________________________ Relationship:_____________________________
Home Phone: ________________________ Other Phone: ____________________________
I. Volunteer Talents
A. Which Petawawa 150th volunteer position(s) interest you?
Please see attached volunteer job positions and descriptions
B. Skills and Interests (Please check all that apply)
 Computer/Internet
 Organizing/Scheduling
 Public speaking
 Set-up/tear down
 Assisting individuals
 Customer Service/relation skills
 Dealing with difficult people
 Strong interpersonal/communication skills
 Heavy lifting
 General Labor
 Parking
 Other ______________________________________________________________________
Celebrate Petawawa 150th Event Committee
16 Civic Centre Road, Petawawa, Ontario K8H 3H5  Telephone: 613-687-5678 / Fax: 613-687-6746
C. Availability
Hours per day:  2
 2 to 4
 5+
Preferred days and times:
 Pre-celebration
 Morning
 Afternoon
 Friday Aug. 21
 Morning
 Afternoon
 Evening
 Saturday Aug. 22
 Morning
 Afternoon
 Evening
 Sunday Aug. 23
 Morning
 Afternoon
 Evening
 Post-celebration
 Morning
 Afternoon
 As Needed
D. Do you have any certifications that would be beneficial to the Petawawa 150th?
(Examples: 1st Aid, WHIMS)
II. Experience
A. Employer Information
Retired  Yes  No
Company/Organization: _______________________________________________________
Dates of service: From _______________________ to ________________________________
Contact person: _____________________________ Phone: ___________________________
 Paid employee
 Volunteer
Celebrate Petawawa 150th Event Committee
16 Civic Centre Road, Petawawa, Ontario K8H 3H5  Telephone: 613-687-5678 / Fax: 613-687-6746
III. Health and Safety
A. Optional
Do you have any medical conditions you would like Petawawa 150th to be aware of?
 Yes  No
If yes, please describe: ____________________________________________________________
Do you require any special accommodations?  Yes  No
If yes, please describe: ____________________________________________________________
IV. References
Please list one reference that is not related to you.
Name: _______________________________________________________________________
Phone: ______________________________ Relationship: ____________________________
V. Declaration
I declare that the information provided and statements made in this application are true
and complete to the best of my knowledge and belief. I also declare that I understand that
the purpose of the training I receive as a Petawawa 150th volunteer is to provide me with
an orientation to my volunteer role and provide a great experience for the patrons coming
to the Celebration.
Signature:________________________________ Date: _______________
Please mail or email this form to Shallan at the Parks and Recreation Office:
Petawawa Parks and Recreation
Atten: Shallan Dament
16 Civic Centre Rd.
Petawawa, ON
K8H 3H5
[email protected]
Celebrate Petawawa 150th Event Committee
16 Civic Centre Road, Petawawa, Ontario K8H 3H5  Telephone: 613-687-5678 / Fax: 613-687-6746