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 Name Last 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)

Month Day Year
Phone Number *

Area Code Phone Number

Address (required to volunteer)

Street Address
Street Address Line 2
City/Town	Province
Postal Code	Country of Origin

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 Newcomers Support Group Facilitator Refugee Circle of Support Sponsor Fundraising Outreach Administration, including Web Support Education or Training Events, Arts, or Entertainment Practicum or Internship Refugee Meet/Pick Up and Welcome Provide Transportation Public Transit Orientation Document Translation Assistance Interpreter Services ESL Training Application for Government programs Banking Assistance Doctor Sign Up Dentist Sign Up School Enrollment and Supplies Community Linkage Employment support Legal Help Event Volunteer AGLC Liquor Servers
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?

Month Day Year
Date Date Picker Icon
FURNITURE PLEDGE
Please indicate what types of furnishings you would like to donate. You will be asked to detail and keep items once you identify them and then they will be asked from you when they are needed.

Clothing for Males Clothing for Females Winter Clothing Living Room Furniture Kitchen Supplies Bedroom Furniture Bathroom Supplies Cleaning Supplies Other Household Effects Food Supplies
Describe what you wish to volunteer for if not above, and/or detail the items you wish to donate, plus let us know anything else you want us to know.
If you wish, and you have one, please attach a resume.

Browse Files

Cancel of
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

Volunteer Registration / Furnishings Donation