Volunteer Application
Contact Information
Name:
Address:
Date of Birth:
Phone (Home):
Phone (Cell)
Email:
Preferred Contact Method: (Check one)
Home Phone
Work Phone
Cell Phone
Email
Are you at least you at least 17 years of age?
Yes
No
Are you legally entitled to work in Canada?
Yes
No
Work Visa Expiry Date: (if applicable)
*Are you currently attending school?
Yes
No
Grade Level:
*Will you be enrolled in a secondary or post secondary educational program in the Fall 2010? Yes
*This question pertains to the possibility of funding for staff who are currently students with intentions of continuing their education in the
following year.
Emergency Contact & Medical Information
Note: This information is for insurance purposes and like all the information contained in this application, is kept strictly
confidential. If you do not have a BC Care Card Number, please provide details of other health insurance under “Special
Considerations”
Care Card #:
Contact Name:
Relationship:
Emergency Phone (Home)
Emergency Phone (Other)
Do you have any special considerations we should know about? (Allergies, etc.)
No
Interests:
How did you hear about Sprouting Chefs?
Why are you interested in volunteering with Sprouting Chefs?
Which programs are you most interested in volunteering with us? Elementary, High School or Summer
Program
Tell us in which areas you are interested in volunteering
___ Administration
___ Events
___ Elementary Program
Garden
___ Elementary Program
Kitchen
___ Fundraising
___Grant Writing
___ Newsletter production
___ Summer Program –
Curriculum Programming
Skills and Experience
Life Experiences (career background, degrees, expertise)
What has been your experience with cooking?
What has been your experience with gardening or farming?
What experience do you have working with children ages 3 to 8?
What experience do you have working with children ages 8 to 15?
What other interests or skills do you have that are related to Sprouting Chefs?
Certification
Do you have a Standard First Aid Certificate?
Yes
No
Expiry Date:
Do you hold a valid CPR Certificate?
Yes
No
Expiry Date:
Do you hold a valid Food Safe Certificate?
Yes
No
Expiry Date:
Do you have a valid WHIMIS Certificate?
Yes
No
Expiry Date:
Availability
What time during the day is the best for you to volunteer with us?
___Weekday Mornings
___Weekday Afternoons
___Weekday Evenings
___Weekend Mornings
___Weekend Afternoons
___Weekend Evenings
Length of time you can commit to: ___ less than 3 months __3 to 6 months ___ 6 months +
Thank you for your interest to help connect children to nature, their food and each other through our programs at
Sprouting Chefs! We will connect with you after we receive your completed form and set up an appropriate time to
review your form and have you join us at our next event/work bee/garden or cooking class 
Reference Check
Reference Check Permission Form
I [please print name], _________________________________________give the Sprouting Chefs permission to
contact the references listed below to discuss my suitability as [circle all that apply]
Youth Leader, Youth Mentor, Youth Volunteer.
Signature: ____________________________________
Date: ______________
List two persons who have knowledge of your skills, abilities, and volunteer experience, or community involvement/interest. Your
references should be people you know through different relationships and/or situations. For example: a family member, a friend
and an employer (paid or volunteer position).
Reference One
Name: ______________________________________________________________________________
first
initial
last
Address: ______________________________________________________________________________
number
street
Apt No., Unit No., P.O Box
______________________________________________________________________________
City/Town
Postal Cod
Phone:_________________ Email:__________________________________
Best time to call? AM. or PM
PH#: ______________________
Relationship to the candidate: ___________________________________
Length of relationship: _________
Reference Two
Name:
_____________________________________________________________________________
first
initial
last
Address: ______________________________________________________________________________
number
street
Apt No., Unit No., P.O Box
______________________________________________________________________________
City/Town
Postal Code
Phone:_________________ Fax:_________________ Email:__________________________________
Best time to call? AM or PM
PH #: ______________________
Relationship to the candidate: ___________________________________
Length of relationship: _________
I understand that any employment or volunteer position offer will be contingent upon a successful criminal record
search and position of trust disclosure, and that it is my responsibility to make sure this search is completed (employer
will provide forms to complete to simplify the record check process)
___________________________________________________
_____________________________________
Signature
Date