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Volunteer Services
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Thank you for your interest in volunteering with
Brain Injury Services of Hamilton, Haldimand-Norfolk, Niagara

Volunteers are a a valued source of encouragement and assistance to both participants and staff at Brain Injury Services.

Get involved! Get motivated! Make a difference! Let us know your availability and interests - We'd like to

provide a meaningful and enjoyable volunteer experience for you.

Offline Volunteer Application Form

BRAIN INJURY SERVICES OF HAMILTON
VOLUNTEER FORM
Name:
Birth Date: -
Address:
City:
Province: Ontario
Postal Code:
Home Phone: -
Cell/Work Phone): - ext.
Email Address:
Employed full time Student Other
Where?:
Preferred contact? Email Phone
Special Interests (Suitable for a workshop?):
Tai Chi Yoga
Website Development Dance
Fundraising Event Management
Fitness-Wellness Music  
Interested in BISHPets animal therapy? Please tell us what kind of pet you own?
Dog Cat
Guinea pig Rabbit
Horse Other
Why have you chosen to apply to volunteer at Brain Injury Services? (Check all that apply)
To gain experience related to educational field
To obtain work experience
Personal development
Community service
With "1" being your first choice and 8 being your least favourite, please rate the choices below in order of preference:
Social Skills Facilitator Workout Partner
Activity Support Administration Assistant
Special Events Research
BISHPets (Evaluation required)
Transportation Support (Additional training required)  
Availability:
Time Mon. Tues. Wed. Thurs. Fri. Sat. Sun.
Morning
Afternoon
Restrictions:
Allergy Access
How did you find out about BISH Volunteer Services?:
Volunteer Hamilton McMaster University Website
BISH Volunteer/Staff Ontario Works
BISH Web Site Other  
Please list two unrelated references we may contact:
1st Reference Name
Phone: - ext.
Relationship:
2nd Reference Name:
Phone: - ext.
Relationship:
In case of emergency please contact (Optional):
First Name:
Phone: - ext.
Relationship:

All applicants must submit a completed application form and attend a personal interview.

Accepted applicants must obtain and present a completed Criminal Record Check. (Please note that volunteers under the age of 18 are not required to obtain a Criminal Record Check but must provide written approval from a parent or guardian.)

Questions or Concerns? Please contact the Coordinator Volunteer Services at 905-523-852 Ext. 274
Applicant's Certification and Agreement:
I hereby declare that the information on this application is true and complete to my knowledge and by checking I give Brain Injury Services authority to check my references:
Agree Disagree


THANK YOU!

We appreciate your interest in volunteering with Brain Injury Services of Hamilton, Haldimand-Norfolk, Niagara

We will contact you as soon as possible.
END