Volunteer Form - Honour House

We’re always looking for friendly motivated individuals to volunteer at Honour House. To apply you must be over 18 years of age and, following an interview, you must provide a criminal record check. You will also be required to sign a confidentiality agreement.

If you’re interested in applying to become a volunteer please complete our volunteer application form or call us at 778.397.4399. We’d love to hear from you!

Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Work Phone
Cell Phone
Email*
References
Please provide 2 reference names and contact numbers
Reference Name
Reference Phone
Relationship
2nd Reference Name
2nd Reference Phone
Relationship
Personal Information
Date of Birth
Month
Day
Year
Reasons you would like to become a volunteer at Honour House
How did you find out about our volunteer program?
What volunteer, professional or other experience have you had that will assist you in the role you are applying for?
Emergency Contact Information
Name
Home Phone
Relationship
Business Phone
Medical Information
Do you have any physical or psychological conditions where there could be the potential for the condition to affect your volunteer role, or that the house manager should be aware of?*
- Yes
- No
If yes, please specify
Have you ever been terminated from employment, penalized or suspended from employment for inappropriate action with children, or have you ever been accused of inappropriate conduct with children in your personal life?*
- Yes
- No
I certify that the statements made in this volunteer application are true and correct and have been given voluntarily. I will familiarize myself with policies and procedures of Honour House Society as I participate at Honour House.
PRIVACY STATEMENT (PLEASE READ CAREFULLY)
HHS will not collect, use or disclose your personal information unless you have provided your consent in accordance with the HHS Privacy Policy, the BC Privacy Protection Act and the Canadian Freedom of Information and Protection of Privacy Act, or where required by law.The HHS Volunteer Application form requests information such as your name, address, contact information, demographic information, work history and education, for the purposes of volunteercoordination. Your personal information is also used for: program statistics and evaluation as per funding requirements; mailings of information related to HHS activities and events.You have the right not to answer a question or to not complete a section of the volunteer application as you so choose.In addition, you have the right to withdraw consent to use your personal information for the purposes noted above. Please notify the Privacy Officer at HHS in order to activate this change.
Please indicate what you withdraw consent of the use of your personal information by checking the appropriate box
Can we use your name for recognition purposes & activities?*
- Yes you may
- Do not use my name
I give my consent to Honour House Society to utilize my photograph(s) for public relations purposes, social media etc.*
- Yes
- No
I have read and understood the privacy statement.*
- Yes
Todays Date
Month
Day
Year
Signature

References

Personal Information

Emergency Contact Information

Medical Information

PRIVACY STATEMENT (PLEASE READ CAREFULLY)

Please indicate what you withdraw consent of the use of your personal information by checking the appropriate box