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Fields
Volunteer Application
Name
*
First Name
*
Last Name
*
Email
*
Mobile or Home Phone
*
Address
*
Address Line 1
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
I agree with all of the following statements:
*
I am over the age of majority in my locality (18+ in Alberta, Manitoba, Ontario, Prince Edward Island, Quebec, or Saskatchewan or 19+ in British Columbia, New Brunswick, Newfoundland, Northwest Territories, Nunavut, or Yukon Territory).
I agree to allow BullyingCanada to process a background check.
I agree to disclose any actual or potential conflicts of interest to BullyingCanada as soon as I become aware of them.
I acknowledge that I may be exposed to conversations with youth that may include triggering or sensitive subject matter (such as suicide, bullying, abuse, neglect, discrimination, and others).
I agree to provide compassionate, empathetic, and confidential support to youth without allowing any personal biases or views to interfere with delivering help.
I agree not to disclose in any way personal identifying materials of those using the services BullyingCanada offers except as provided by law or in accordance with BullyingCanada's established procedures.
I agree to abide by all applicable BullyingCanada policies and procedures.
I agree to report any conversations that mention suicide or suicidal ideation to my supervisor(s) immediately.
I agree to immediately disclose to my supervisor that I suspect I may know personally anyone accessing support through BullyingCanada services.
How many days a month would you like to volunteer?
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Days available (pick all that apply)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
How many hours a week would you like to volunteer?
*
2-4
4-6
6-8
8-10
10-12
12-14
14-16
16-18
18-20
20-22
22-24
24-26
26-28
28-30
30-32
32-34
34-36
36-38
38-40
40+
Are you currently working? If so, where?
*
Not currently
Other:
Other Value
How did you hear about our need for volunteers?
*
Why do you want to become involved with BullyingCanada?
*
What sorts of things do you wish to do as a volunteer?
*
How would you handle a situation in which a youth asks for support that challenges your personal views or religious beliefs?
*
What organizations or charities do you current work or volunteer for?
Next, please supply the information of two references that can vouch for your character.
Reference 1 - Name
*
First Name
*
Last Name
*
Reference 1 - Relationship
*
Reference 1 - Email
*
Reference 1 - Phone
*
Reference 2 - Name
*
First Name
*
Last Name
*
Reference 2- Relationship
*
Reference 2 - Phone
*
Reference 2 - Email
*
Please attach your resumé in PDF format (optional).
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