Volunteer Application Form

Thank you very much for your interest!
Please complete and submit this form.

CONFIDENTIAL

Please note that requirements for acceptance as a volunteer include a willingness and ability to meet shift requirements including one overnight shift per month.

First Name
Last Name
Street Address
City
Postal Code
Home Telephone No.
Home Fax No.
Bus. Telephone No.
Bus. Fax No.
Email Address
Present Occupation
Preferred Distress Centre Location
Languages Spoken

What experience have you had as a volunteer?

Do you possess any special skills or abilities that will be helpful to you as a volunteer? If so, what are they?

Why do you wish to volunteer at the Distress Centre?

What type of qualities do you think a person would need to work at a Distress Centre?

Briefly describe your work experience(s):

How did you find out about the Distress Centres?

Will you require a letter acknowledging your work at the Distress Centre?

Yes No

References (co-worker, friends, etc.):

1.	Name:
	Telephone:
	Relationship:

2.	Name:
	Telephone:
	Relationship:

When would be a convenient time to contact you to arrange a person interview?

Daytime Evening

Where can we reach you?

Home Tel: Bus. Tel:

The following questions would be helpful for you to consider before the interview:

What expectations do you have of volunteer work at a distress centre?
Are you aware that volunteers are not to put forth any personal, political or religious points of view to callers?
Are you willing to accept that callers will often have very different values and moral beliefs than your own?
To what extent will your commitment to meet our shift requirements interfere with your personal schedule?

Distress Lines are open 24 hours, 7 days a week 416-408-HELP (4357)