Volunteer Application Form

Full Name *

Home Address *

Postal Code *

Home Phone No. *

Work Phone No. *

Fax No.

Email Address

Occupation / Job Title

Job Description

Organization & Type

Years in Position

Highest Level of Education

Date Completed

Month

Day

Year

School Name and Location

Professional Certificates or Graduation Education Completed

Languages

Please list any languages (other than English) that you speak

What are some of your personal hobbies or interests?

How did you hear about Ability Online?

From a Friend

Found on the Internet

From my doctor/hospital

Advertising

Other

Please explain

Tick any of the boxes to the right which apply to the areas you would most like to be involved with in Ability Online

Online Volunteer - Host a Conference

Online Volunteer - be a Mentor

Online Volunteer - Specialty Volunteer

Technical Volunteer

Event Volunteer (Toronto only)

Representing Ability Online at public events (e.g. People in Motion)

Assisting with Board - or committee-level responsibilities

How many hours per day will you be available

Please supply names, addresses, phone numbers and emails (if available) of two people who can provide a reference for you

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