`
PERSONAL INFORMATION Mr. Mrs. Ms. First Name: Last Name: Address: Apartment No.: City: Prov: Postal Code: Home Phone: ( ) - Cell: ( ) - Email: Volunteer Shirt Size: Membership #: No Membership | PLEASE LIST TWO REFERENCES (Other than relatives / not related to you)EMAIL REQUIRED Mr. Mrs. Ms. (click to see options) Name: Relationship: Phone: ( ) - Email: Notes: (For volunteer coordinator use only) Mr. Mrs. Ms. (click to see options) Name: Relationship: Phone: ( ) - Email: Notes: (For volunteer coordinator use only) | SCHOOL INFORMATION Not Applicable School Name: How many hours do you require? Time frame: From to (ex. Feb 2010 to Feb 2013) | IN WHICH AREA(S) WOULD YOU LIKE TO VOLUNTEER:
(click to see options)Preference #1: Preference #2: | Emergency Contact Information:Name: Telephone: ( ) - Relationship (click to see options)
If you have any questions please contact:Scarborough YMCAc/o Myra Narvaza(416) 296-9907 x408myrabelle.narvaza@ymcagta.org | AVAILABILITY Please indicate when you would be available to volunteer: Timeframe | Mon | Tues | Wed | Thu | Fri | Sat | Sun | AM BETWEEN 6am-10am WEEKENDS 7am-10 am | | | | | | Between | Between | MID #1 BETWEEN Between 10am-4pm | | | | | | | | MID #2 BETWEEN Between 4pm-8pm | | | | | | | | PM BETWEEN 8pm-12am | | | | | | | | | OTHER INFORMATION (Volunteer Coordinator Use Only) INTERVIEW DATE: _________________________ AGEDate of Birth:______________________ Current Age: ______________________ * 14 – 15 yrs. Proof of Age: