If you have concerns that a child may be at risk for abuse or neglect, please call 24/7: 905-937-7731 • Toll Free: 1-888-937-7731 • TTY: 905-937-8105

Volunteer Application Form

Thank you for your interest in volunteering with Family and Children’s Services. Due to an overwhelming number of applications for our baby cuddling role, we are unable to accept more applications for baby cuddlers at this time. We do have a pressing need for more volunteer drivers and encourage you to consider another of our very rewarding volunteer roles in the interim. Thank you once again for your interest in FACS Niagara!

Family & Children’s Services Volunteer Application Form

Applicants must be 18 years or older.

Family & Children’s Services Niagara appreciates your interest in volunteering with our organization, and is able to accept applications from individuals aged 18 years and over.

Required fields (marked with *) must be completed for application to be submitted.

Please complete form.

I attest that I am 18 years or older.
Please select. *
Yes

Office Locations

82 Hannover Drive, St. Catharines, ON L2W 1A4 654 South Pelham Road, Welland, ON L3C 3C8 7900 Canadian Drive, Niagara Falls, ON L2E 6S5 Local Calls: 905-937-7731 Toll Free Calls: 1-888-937-7731

Personal Information

Name *
Date *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Home Phone *
Cell Phone
Business Phone
Emergency Contact Person and Phone Number *
How did you hear about our volunteer program? *
Do you have a driver's license? *
YesNo
Has your license ever been suspended? *
YesNo
If yes, when and reason why:
Description of car (Year)
Description of car (Make)
Liability Insurance: ($1,000,000 required)

History of Employment (Starting from present)

1. Year *
Place *
Position *
2. Year
Place
Position
3. Year
Place
Position

Skills and Interests

Education
High School
College
University
Presently enrolled in:
Other education (specify):
Languages Spoken: *
EnglishFrenchOther
If Other, please specify:
Hobbies, Skills and Interests: *
Volunteer Experience *
Thank you for your interest in volunteering with Family and Children’s Services. Due to an overwhelming number of applications for our baby cuddling role, we are unable to accept more applications for baby cuddlers at this time. We do have a pressing need for more volunteer drivers and encourage you to consider another of our very rewarding volunteer roles in the interim. Thank you once again for your interest in FACS Niagara!
Volunteer Interests: *
Child Care - Group & Individual
Child Care Program (Classroom Assistance - Note: Immunizations required—MMR/TB/Tetanus)
DriverDriver AssistantEvening Reception
Holiday HeroKnitters and Sewers
Public RelationsSpecial Friend/Mentor
Team VolunteerToy Room Volunteer
TutorHomework Club
Other
If Other, please specify:

Time Available

Weekdays
Mornings *
Afternoons *
Evenings *
Weekends
Mornings *
Afternoons *
Evenings *

References

Two references are necessary (not a relative). Please give their complete mailing/e-mail address as requests for references will be mailed/e-mailed.
1. Name *
Phone *
Email
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
2. Name *
Phone *
Email
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
I hereby state that all of the above mentioned information is true and accurate. I understand that in the event of a change to this information e.g. health, driving, insurance or police records, address or telephone number, it is my responsibility to notify the Manager of Volunteer Services. E-mail addresses may be collected with permission for use in communicating the following: • Training Information • Agency closures • Meeting agendas/minutes • Direct deposit information E-mail addresses will NOT be used to communicate: • Confidential information • Confidential personal information • Monthly report/mileage forms I understand my e-mail address will not be shared with other volunteers, third parties or any other person outside of FACS Niagara Volunteer Services and Finance staff. I may refuse e-mail communication outside of the terms laid out above. I understand that I have a responsibility to review e-mails sent by FACS Niagara, and will not send any communication of a confidential nature.
Signature of Volunteer *
Date *