Section One: Personal Information First Name Last Name Email Primary Phone Number Other Phone Number: Address City Province Postal Code Birthdate: Section Two: Emergency Contact Information Name: Relationship: Phone Number: Other Phone Number: Section Three: References Professional Reference Name: Relationship: Phone Number: Email: Do you know any past or current PTB staff member(s) who can give a definite statement of your character?: Section Four: Qualifications & Experience Highest level of education completed: Areas of Study: Other Education Completed: Please describe your professional or volunteer experience as it relates to Power To Be: Current First Aid Certificate?:--None--No Yes First Aid Level: Paddling Certifications?--None--No Yes Which One(s)?: Other certificates (i.e. NLS, Bronze Cross, Food Safe, etc.) Please describe your experience working with youth and/or families: Please describe your experience working with people with disabilities or other barriers: Please describe any other special skills or talents you possess: Please list your interests or hobbies: Section Five: Expectations Why are you interested in volunteering with us?: Section Six: Interest & Availability What city would you like to volunteer in?:Vancouver Victoria Please select all that apply. You can select additional items by holding ctrl/command and clicking on the option. What opportunities interest you?:Delivery and support of PTB programs Special events and fundraising Administrative support Please select all that apply. You can select additional items by holding ctrl/command and clicking on the option. How many days per month would you like to volunteer?: Other (please specify): Section Seven: Other Information How did you hear about volunteering at Power to Be?: Please list any allergies: Do you have medical concerns/conditions of specific support need that we may need to accommodate?: Please specify support needs.: Have you ever been charged with a criminal offence relating children/youth,vulnerable adults, violence, of a sexual nature, fraud/financial or that may otherwise require our consideration?:--None--No Yes Do you agree to undergo the required criminal record and vulnerable sector check as a part of the application?:--None--No Yes Do you have any other questions?: Section Eight: Communication Consent I would like to receive emails related to volunteering with Power To Be.: I would like to receive Power to Be's monthly's newsletter. : I would like to receive emails about fundraising, event and other opportunities. : Power To Be respects your privacy. You can unsubscribe from our email list or change your preferences at any time.