Volunteer Application Form

Volunteer Application Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
E-mail
Volunteer Position Information

What areas and time-frames are you interested in volunteering? Please mark all that apply:
Position applying for:

CleanerFarm Tour/Field Trip LeaderEvent Logistics (set up, tear down, organize equipment, etc.)Farm CrewCamp CounselorCamp Support staffOther
Availability (please put times for each day you are available):
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Work/Volunteer Experience
Resume

Upload a File
Please upload your resume here Cancelof
References

I give Canteen Destiny permission to contact the references listed below to discuss my suitability as my volunteer position:
I agree to contact my references

YesNo
Reference Name

First NameLast Name
Daytime Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
E-mail
Relationship
Years known
Please read the following carefully

A check in each box indicates agreement
I understand that in accepting a Volunteer position, I am committing myself to act in compliance with the beliefs, values, policies and processes of Canteen Destiny.

Yes
I understand that an appointment to any volunteer position does not guarantee a paid position within Canteen Destiny

Yes
CONFIDENTIALITY STATEMENT
I agree to the confidentiality statement below:

Yes
I do willingly promise to hold in confidence all matters that come to my attention while serving as a volunteer member of Canteen Destiny. I will respect the privacy of staff and clients with whom I am working and will confer appropriately with the Program Coordinator. Furthermore, I will use, in a responsible manner, information gained in the course of my service at Canteen Destiny.
Disclaimer: Staff adheres to strict policies that protect the confidentiality of any personally identifiable information such as names, email addresses and telephone numbers. We do not sell your personal information to a third party nor do we post it on our website.
I’D LIKE TO VOLUNTEER

YES
Should be Empty:

Volunteer Application Form

Volunteer Position Information

Work/Volunteer Experience

References

Please read the following carefully