Volunteer and Furnishings Donation Form

Volunteer Registration / Furnishings Donation

The following form includes information required to volunteer and/or to also donate furnishings.
Name*

First NameLast Name
E-mail*
VOLUNTEER APPLICATION

This section is required to volunteer. If you do not want to volunteer and only want to pledge a donation of furniture, then please skip to the next section, the Furniute Pledge.
Birth Date (required to volunteer)

MonthDayYear
Phone Number*

Area CodePhone Number
Address (required to volunteer)

Street Address

Street Address Line 2

City/TownProvince

Postal Code
What is your Country of Origin? (required to volunteer)
What is your Current Status? (required to volunteer)
If you are not yet a Canadian Citizen and have an UIC number, then please provide this now or at a later time. (required to volunteer)

What Languages can you speak, understand, and write? (Leave blank if you do not understand the language)*

	Fluent	Some Understanding	Read and Write Only
English
French
Tagalog
Mandarin
Cantonese
Spanish
Punjabi
Arabic
Other

If other languages is chosen, what languages?
How do you identify yourself
If other, please describe how else you identify yourself
Are there pronouns you prefer to use for yourself?
Please indicate areas to volunteer according to your skills

Mentorship for NewcomersSupport Group FacilitatorRefugee Circle of Support SponsorFundraisingOutreachAdministration, including Web SupportEducation or TrainingEvents, Arts, or EntertainmentPracticum or InternshipRefugee Meet/Pick Up and WelcomeProvide TransportationPublic Transit OrientationDocument Translation AssistanceInterpreter ServicesESL TrainingApplication for Government programsBanking AssistanceDoctor Sign UpDentist Sign UpSchool Enrollment and SuppliesCommunity LinkageEmployment supportLegal HelpEvent VolunteerAGLC Liquor ServersOther
If a police check is required for your role, then are you willing to provide this? (required to volunteer in any Mentor Role)
When are you available to start volunteering?

MonthDayYear
Date
FURNITURE PLEDGE
Please indicate what types of furnishings you would like to donate. it is important that items for donation must remain with the donor until we have contacted you to coordinate transportation of any items including items or supplies.

Clothing for MalesClothing for FemalesWinter ClothingLiving Room FurnitureKitchen SuppliesBedroom FurnitureBathroom SuppliesCleaning SuppliesOther Household EffectsFood SuppliesOther
Describe what you wish to volunteer for, and/or detail the items you wish to donate. You may also add any additional comments or questions here.
Should be Empty:

Volunteer Registration / Furnishings Donation