Volunteer Application Form

Date of Application *

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Personal Information
Name

First

Last
Date of Birth

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YYYY
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone Number (Home)

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Phone Number (Work)

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Phone Number (Cell)

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Email
In case of emergency please contact:
Relationship:
Phone Number

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Have you had cancer?
If yes please tell us about it (optional)
Is it necessary to limit your physical activity?
 Yes  
 No 
If yes, please explain
How did you learn about Gilda's Club?
I am interested in volunteering
 regularly 
 as needed 

Professional Information
Place of Employment (or previous career if not working)
Please list any professional credentials

Volunteer Experience
Have you ever been a volunteer before?
 Yes 
 No 
Organization
For how long?
Organization
For how long?
Please provide any other information you would like us to know about you (i.e. special talents, etc.) :

References

Please print the complete name and addresses of 3 references and indicate if they are a personal or professional reference.
Name
 Personal 
 Professional 
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone Number

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Name

First

Last
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone Number

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Name

First

Last
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone Number

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Volunteer Opportunities

Please check all of the following Volunteer Opportunities that you would be interested in being matched to
Gilda's Greeters
 Answer phones and greet all who pass through the Red Door 
Gilda's Gardeners
 Help with the regular upkeep and maintenance of our gardens 
Clubhouse Events
 Attend lectures held at the Clubhouse to provide feedback, help with the setup and clean up 
Clubhouse Caterers
 Prepare homemade goods for events held at the Clubhouse 
Monthly Mailers
 Assist with preparing monthly mailings and special event mailings 
Administrative Volunteers
  Assist staff with administrative needs 
Clubhouse Support
 Assist with various projects around the Clubhouse 
Drop In
 Come in and see what's on our 'to do' list and help out when you can 
Children and Families Program (additional training req.)
 Noogie Nights (weekly group for children ages 5-12) 
 Family Time Events (monthly themed social events for children, teens and families) 
Workshop Facilitators
 Cooking, Youga, Tai Chi, Crafts, Meditation, Painting, Journaling, Pilates, Quilting, Knitting, etc. 
Entertainers
 Musicians, Comedians, Singers 
Fundraising Planning Committee
 Assist with planning fundraising events, outreaching to potential donors and implementing fundraising activities 
Fundraising Events Volunteer
 Assist with registration, selling raffle tickets, etc. at fundraising activites in the community (i.e. Golf Tournament, Comedy Night, etc.) 
Other Volunteer Support:

Availability

Please indicate your availability for volunteering:
Monday
 Daytime (9 a.m. -4 p.m.) 
 Evenings (4 p.m. - 9 p.m.) 
 Other; please specify below 
Tuesday
 Daytime (9 a.m. -4 p.m.) 
 Evenings (4 p.m. - 9 p.m.) 
 Other; please specify below 
Wednesday
 Daytime (9 a.m. -4 p.m.) 
 Evenings (4 p.m. - 9 p.m.) 
 Other; please specify below 
Thursday
 Daytime (9 a.m. -4 p.m.) 
 Evenings (4 p.m. - 9 p.m.) 
 Other; please specify below 
Friday
 Daytime (9 a.m. -4 p.m.) 
 Evenings (4 p.m. - 9 p.m.) 
 Other; please specify below 
Saturday
 Daytime (9 a.m. -4 p.m.) 
 Evenings (4 p.m. - 9 p.m.) 
 Other; please specify below 

*Please note that while many volunteers would like to be matched to specific areas - some volunteer areas have less need than others and we cannot guarantee accommodating everyone's first choice. We encourage you to consider a variety of volunteer opportunities within Gilda's Club Simcoe Muskoka and we will do our best to accomodate you. Thank you in advance for your patience.

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