TOWN OF BWG VOLUNTEER APPLICATION FORM IN WHICH AREA(S) WOULD YOU LIKE TO VOLUNTEER: (PLEASE CHECK ALL THAT APPLY) I CHILDREN’S PROGRAMS FITNESS PROGRAMS LIFESTYLE PROGRAMS AD MEMBER SERVICES RECREATIONAL SPORTS SPECIAL EVENTS OTHERV PERSONAL INFORMATION ISORY PLEASE INDICATE DAY(S) AND TIME(S) WHEN YOU ARE AVAILABLE: Cell ( Morning Afternoon Evening Monday Tuesday Wednesday Thursday Friday Saturday Sunday V (please print clearly) First Name_________________________________________________ Last Name _________________________________________________ Address ___________________________________________________ City/Town _______________ Prov. ______ Postal Code _____________ Home Phone ( ) _____________Work Phone ( ) _______________ ) _______________ E-mail ______________________________ Emergency Contact Name ______________Phone ( ) _____________ BACKGROUND INFORMATION References: Name _____________________ Phone ( Name _____________________ Phone ( )_____________________ )_____________________ Why would you like to volunteer with the Town of BWG? _________________________________________________________ _________________________________________________________ _________________________________________________________ What relevant work or volunteer experience do you have? _________________________________________________________ _________________________________________________________ What relevant education, training and/or certification do you have? _________________________________________________________ _________________________________________________________ What areas would you like to gain skills or learn more about? _________________________________________________________ _________________________________________________________ _________________________________________________________ AS A BWG VOLUNTEER: I understand that prior to commencing my volunteer activity at the BWG Leisure Centre: For more information please contact: 905-775-PLAY (7529)or visit www.townofbwg.com Please submit completed forms to: Leisure Services 125 Simcoe Rd. Bradford, ON I am required to provide the Town of BWG with a current Vulnerable Sector Screening I will receive the Town of BWG specific training for my volunteer role I will be trained on the Operating Policies and Procedures for BWG volunteers I certify that the above information is true and complete to the best of my knowledge. Form # 5100-009 (01/2016) Signature __________________________ Date ____________________ Parent/Guardian Signature __________________ Date ______________
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