Youth Volunteer Application Form
-- Confidential --
Please complete the following form as accurately as possible. This will enable us to find you the most satisfying and appropriate volunteer placement with our agency. Thank you! You must be 16 years of age.
_______________________________________ Postal Code: ____________
Home Telephone: _____________________
School: _____________________________ Birth Date: __________________
When are you available to volunteer? (Please list days/times preferred)
How often would you like to volunteer?
How long are you able to commit to
volunteering with Literacy Partners of Manitoba?
Special Skills or Training: (Editing, design,
office work, special events, conference prep)
Hobbies and Interests:
Previous school or community volunteer experience: (use separate sheet if nec.)
Why do you want to volunteer with us? _________________________________
How did you hear about Literacy Partners of
Method of Transportation: Transit ___ Family Car ___ Drivers license? ______
If yes, do you have access to a vehicle? _______ Parent/friend who drives? _____
Are you currently employed? Yes___ No___ If yes, hours per week: ___________
Location: ________________________ Supervisor: ______________________
Your duties include: ____________________________________________________________
May we contact him/her for a reference? Yes ___ No ___ Phone: _____________
In case of emergency please call: ______________________________________
References: Teacher, Coach, Minister. One reference may be family. Please attach resume.
I, _______________________________, declare that the information provided is true to the best of my knowledge. I also understand that a criminal record and child abuse registry check as well as reference checks may be required as a condition of volunteering with Literacy Partners of Manitoba, depending on type of volunteer position I accept.