Personal & Contact Information

First Name:

Last Name:

Name you go by:

Address:

City:

Postal Code:

Phone Number: (Cell)

Phone Number: (Home)

Email Address:

Date of Birth (Optional):

Age Group

Pronouns (Optional):

Gender (Optional):

Have you used CCS services before?

YesNo

If Yes, details:

Emergency Contact Information:

First Name:

Last Name:

Phone Number:

Relationship:

Volunteer Experience #1

Name of Organization:

Role/Responsibilities:

From Date:

To Date:

Volunteer Experience #2

Name of Organization:

Role/Responsibilities:

From Date:

To Date:

Work Experience #1

Name of Organization:

Role/Responsibilities:

From Date:

To Date:

Work Experience #2

Name of Organization:

Role/Responsibilities:

From Date:

To Date:

Education:

Highest level of education:

Are you currently working?

YesNo

If yes, area of work:

Are you currently a student?

YesNo

If yes, area of study:

Language(s):

Reason for Volunteering:

Desire to give back to the community and help othersGain work-related experienceMandatory school requirementOther

If Other, detail here:

Please indicate the area(s) in which you would like to volunteer. We use this information to match you with our volunteer opportunities. Please note that not all of these areas have opportunities at the moment.

Settlement ServicesEnglish ClassesSettlement Workers in Schools (SWIS)Employment SupportWomen Support ServicesRefugee Sponsorship TrainingLocal Immigration PartnershipChild Minding

Location(s):

Scarborough Locations:

Peel Region:

Brampton Office:

Mississauga Locations:

Availability:

Monday:

MorningAfternoonEvening

Monday Hours:

Tuesday:

MorningAfternoonEvening

Tuesday Hours:

Wednesday:

MorningAfternoonEvening

Wednesday Hours:

Thursday:

MorningAfternoonEvening

Thursday Hours:

Friday:

MorningAfternoonEvening

Friday Hours:

Weekends:

MorningAfternoonEvening

Weekends Hours:

Potential Start Date:

Commitment Time:

School Term(s)

Medical Conditions and/or Allergies?

Relevant Skills or Experience

How Did You Hear About us?

A CCS LocationOther Community AgenciesFamily/FriendSocial Media/CCS WebsiteOther:

If Other, specify:

Privacy (Read carefully before agreeing)

CCS is committed to respecting your privacy and adheres to all legal and legislative privacy requirements in doing so.

Volunteer positions are based on availability. Volunteers are placed according to their interests, skills, suitability, and the needs of the agency. Positions are offered contingent upon the satisfactory results of applicable reference checks, including a criminal reference check. By signing below, I confirm that the information provided on this application is accurate to the best of my knowledge. I understand that false or incomplete information on this application form may disqualify me from volunteering, or result in my dismissal.

Yes, I hereby agree to the volunteering terms (or guardian if volunteer is under 18 years of age)

Today's Date:

If you have any questions please contact the Volunteer Coordinator – Catholic Crosscultural Services
(Phone: 416-757-7010, Email:volunteering@ccscan.ca.