Volunteer Application Form "*" indicates required fields Name* First Last Date of Birth*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Permission to Email* Yes No Phone Number*Permission to Call* Yes No Mailing Address* Street Address Address Line 2 City ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Emergency Contact Name*Phone Number*Current OccupationCurrent EmployerTell us why you want to volunteer for HELPLINE CENTER Group INC.:*Are you volunteering for Community Service hours? (E.g. School, H4H, etc.)* Yes No If yes, please specify:Please list any medical issues we should be aware of (E.g. Inability to lift, allergies, etc.):Please check all positions you wish to volunteer for:* Events Yard and Facility Maintenance Fundaraising Bingo Sorting & organizing donations Retail Floor Associate Store Merchandising How much time are you willing to commit weekly?* 30 minutes-3 hours 4-10 hours 11-15 hours 15+ hours SignatureDate Signed MM slash DD slash YYYY Fill Up the Fields Below If Under 18Guardian Name:Guardian Phone:Guardian Email: Signature of Guardian:Date Signed MM slash DD slash YYYY Volunteers 14 and under must be accompanied by a guardian. 39862 If you would like the printable version of the application form, please click here.
