2015 Volunteer Application - Airdrie Festival of Lights

Airdrie FesPval of Lights
2015 Volunteer ApplicaPon Form
[email protected]
Ph 403-­‐912-­‐9627
PO Box 10353 Airdrie, AB T4A 0H6
Last Name:
First Name:
Date of Birth (yyyy-­‐mmm-­‐dd):
Address:
City:
Province:
Home #
Postal:
Cell #
Other #
Email:
☐ I hereby authorize and consent to a RCMP Criminal Record and Vulnerable Sector Check.
Applicant's Signature:
Do you have a valid Driver's License?
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☐
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☐ Yes
☐ No
Job PosiPons
Which Posi<ons In December Would You Be Interested In?
Night Leader
☐ Assistant Night Leader
VMT
☐ Assistant VMT
Train Sta<on Sales
☐ Train Assistant
Train Driver
☐ Parking A9endant
Floater
☐ Dona<on Collec<on
Mascot
☐ Fire Pits
Are there any concerns that would prevent you from taking an outside posi<on?
Yes ☐
No ☐
Are you available in the off season to help with ongoing jobs related the Fes<val of Lights?
Yes ☐
No ☐
Do you have any special skills or training? (Electrician, Carpenter, Grant Writer, etc)
May we contact you via email newsle9er to inform you of any upcoming events or volunteer opportuni<es? We do not share your email.
Yes ☐
No ☐
Are you fluent in any other language?
Does your employer offer an Employee Volunteer Grant Program?
2015 Volunteer Applica3on 1 of 4
☐ Yes
☐ No
Emergency Contact Info
Emergency Contact Name
Rela<onship
Phone Number(s)
Are You Interested In Joining Our Board of Directors?
(If No, then proceed to References)
Relevant experience and/or employment (a9ach a resume if relevant)
Why are you interested in joining the Airdrie Fes<val of Lights Society?
What areas of exper<se or special skills do you possess? Would you be interested in joining one of our commi9ees instead?
Yes ☐
Which One:
Have you previously served on a Board of Directors?
No ☐
☐ Yes
☐ No
Which Organiza<on/How Long?
Other Volunteer Service?
How much <me do you think you will be able to contribute?
☐ Finance
☐ Maintenance
☐ Communica<on
☐ Legal Rela<ons
☐ Construc<on
Areas of Interest (Check all that apply)
☐ Fundraising
☐ Sponsorship
☐ Media Rela<ons
☐ Entertainment
☐ Adver<sing
☐ Governance
☐ Truck Driver
☐ Marke<ng
☐ Electrical
☐ Vendor Rela<ons
Please Provide One Reference -­‐ Not Related to You
Name
Address
Phone
Rela<onship
2015 Volunteer Applica3on Length of Time?
2 of 4
☐ Volunteer Program
☐ Human Resources
☐ Grant Applica<ons
☐ Equipment Operator
☐ Other
AuthorizaPon and Consent for All Volunteers
I understand the need for the Airdrie Fes<val of Lights Society / Founda<on to carefully screen all volunteer
applicants, including Board Members.
! I have completed and reviewed this en<re form, and a9est that the informa<on I have provided is true.
! I agree and acknowledge that the Airdrie Fes<val of Lights Society/Founda<on will contact the individuals I have given as references, and will verify the accuracy of all informa<on I have provided.
! I understand that a condi<on of acceptance for any volunteer role, with the Airdrie Fes<val of Lights is that I complete a RCMP Criminal Record and Vulnerable Sector Check.
! I understand that any false informa<on I have given, or any incident recorded on my RCMP Criminal Record and Vulnerable Sector Check may result in my being rejected for any volunteer role with the Airdrie
Fes<val of Lights Society/Founda<on.
! I understand that the Airdrie Fes<val of Lights Society/Founda<on has the right to deny any individual as a
volunteer for the Society/Founda<on, and reserves the right to have a RCMP Criminal Records and Vulnerable Sector Check conducted again at any <me during a volunteer's service with the Society/Founda<on.
IniPal:
Photo Release
In considera<on of the acceptance of my applica<on to par<cipate as a volunteer for the Airdrie Fes<val of Lights (AFOL), I authorize and give full permission to the AFOL for use of my name and photograph, s<ll or video in connec<on with my volunteer ac<vi<es and I consent to the use of such material or its reproduc<on in any manner and by any medium which the AFOL deems appropriate.
Yes ☐
No ☐
IniPal:
Statement of ConfidenPality
! Volunteers will agree to keep all ma9ers rela<ng to the work of the AFOL completely confiden<al and not to disclose or use such informa<on without the consent of the President.
! I do willingly promise to abide by the policies of the AFOL Volunteer Program and to hold in confidence all ma9ers that come to my a9en<on in the line of duty at the AFOL, including informa<on from and about other volunteers.
! I will respect the privacy of the people whom I serve and discuss any problems I have with my commitment appropriately with those designated as my supervisors.
! Further, I will use in a responsible manner informa<on gained in the course of my service at the AFOL.
IniPal:
I have read this AuthorizaPon and Consent Statement fully and understand its contents.
Applicant's Signature:
If Applicant is under 18 years of age, Parent/Guardian's Signature Required
Name:
Signature:
Date (dd.mmm.yyyy)
2015 Volunteer Applica3on 3 of 4
For Board Use
☐ Applica<on reviewed by the screening commi9ee.
☐ Nominee interviewed by the Screening Commi9ee.
☐ Reference Check Completed.
☐ Criminal Record & Vulnerable Sector Check
Ac<on taken by the Board Review Date:
Date
Date
Date:
Date of Ac<on
Completed By:
Results:
Signature:
Review Date:
Completed By:
Results:
Signature:
Review Date:
Completed By:
Results:
Signature:
Review Date:
Completed By:
Results:
Signature:
2015 Volunteer Applica3on 4 of 4