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
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