St. Jude's Volunteer Application

Name *

Address *

Country

Region

City

Post box

Street

Building

Primary Phone *

Secondary Phone *

Email *

Occupation or School *

Languages Spoken *

Work Experience *

Volunteer Experience *

Special Skills, Interests, Hobbies *

How did you hear about volunteer opportunities at St. Jude's? *

Why are you interested in volunteering with us? *

How often would you like to come to St. Jude's? *

When are you available? *

Are you willing to make a six-month commitment? *

Yes

No

Would you like to be on call for escorting residents to appointments in the community or for when a volunteer calls in sick? *

Yes

No

If yes, how much notice would you require? *

What setting do you like working in? *

Groups

Alone

One-to-One

Do you play a musical instrument? If so, which one(s)? *

Do you have any health difficulties that we should know about? *

Emergency Contact (in the case of an emergency, please notify): *

(Please give their name, phone number and relationship)

Please list a personal reference (other than family) who is familiar with your character and abilities *

(Please give their name, phone number and relationship)

Please check the areas that would of interest to you: *

Additonal comments *

Privacy Policy

By submitting this form I authorize St. Jude's Anglican Home to collect personal information appropriate to volunteering, concerning my academic background, employment/volunteering history and to verify the character references listed above.