Dawson Creek 'Better at Home'

First Name

Last Name

Phone number

Phone Number 2

Email Address

Address

Date of Birth

Do you have any allergies?

What is your profession?

Would you be volunteering with someone else (family/couple)

The volunteer is responsible for children under the age of 15. All volunteers 15 and over must apply separately and supply a criminal records check. Children aged 15 – 18 will fill out the ‘Volunteer Application-Minors’ and have parental/guardian consent.

Approximately how many hours per week would you be able to volunteer?

If you cannot commit to an ongoing position, you can register as a 'Casual Volunteer'. A casual volunteer may provide 'one-time' services, or fill in for regular volunteers when they are away.

Yes
No
I would like more information on casual volunteering

Are there any specific times/days when you cannot volunteer?

Which volunteer opportunities would you be interested in?

Friendly Visits
Yard Work
Transportation
Home Maintenance
Snow Shoveling
Fundraising/Events

If you would like to be a volunteer driver, we will need a copy of your driver's license, driver's abstract, and proof of insurance. If there are ever any changes to these documents, you are responsible for notifying Better at Home. These documents will be renewed at the same time as the criminal record check is renewed (every 5 years)

All Better at Home Volunteers will be required to have a criminal record check completed. This can be done at the Better at Home office.

Do you have any previous volunteer experience, particularly with seniors? Please tell us about it.

Do you have any special skills?

Emergency Contact - Name

Emergency Contact - Relationship (ie. friend, parent, sibling)

Emergency Contact - Phone number

User Agreement

By continuing,  I guarantee that the information I have provided in this application is true and complete.

I acknowledge that I will complete an orientation with the Better at Home coordinator who will contact me upon receipt of this application. 

 

Thank you for applying to become a Better at Home volunteer. A coordinator will be in contact with you to schedule an orientation meeting and to perform a criminal record check.