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Volunteer for the Windsor Youth Centre

Personal Information

First Name*
Please provide your first name.

Last Name*
Please provide your last name.

Home Address*
Please enter your home address.

Apartment No.
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City*
Please enter the city you live in.

Province*
Please enter the 2 letter abbreviation for your Province.

Postal Code*
Please enter your postal code

Email address*
Please enter a valid email address

Are you 18 years of age or older?*
Please let us know whether or not you're 18 years of age or older.

Can we reach you by phone?*
Please let us know if we may reach you by phone.

Please let us know which types of phone numbers we can reach you at.
*
You must make a selection.

Home Phone*
You told us you have a home phone, but haven't provided the number. If you don't have a home phone, please uncheck it's box.

Mobile Phone*
You told us you have a mobile phone, but haven't provided the number. If you don't have a mobile phone, please uncheck it's box.

Business Phone*
You told us you have a business phone, but haven't provided the number. If you don't have a business phone, please uncheck it's box.

 

I'm applying for:

Position Applying For*

Please select the position(s) you are applying for.

Availability

Please select the days you're available:
*

Please let us know your availability.

Monday Start Time*

Please let us know when you're available to start working on Mondays.

Monday End Time*

Please let us know the latest you can work on Mondays.

Tuesday Start Time*

Please let us know when you're available to start working on Tuesdays.

Tuesday End Time*

Please let us know the latest you can work on Tuesdays.

Wednesday Start Time*

Please let us know when you're available to start working on Wednesdays.

Wednesday End Time*

Please let us know the latest you can work on Wednesdays.

Thursday Start Time*

Please let us know when you're available to start working on Wednesdays.

Thursday End Time*

Please let us know the latest you can work on Thursdays.

Friday Start Time*

Please let us know when you're available to start working on Fridays.

Friday End Time*

Please let us know the latest you can work on Fridays.

Saturday Start Time*

Please let us know when you're available to start working on Saturdays.

Saturday End Time*

Please let us know the latest you can work on Saturdays.

Sunday Start Time*

Please let us know when you're available to start working on Sundays.

Sunday End Time*

Please let us know the latest you can work on Sundays.

Date Available to Start*

Please let us know when you can start work.

 

Employment History

List your last 3 employers.

Employer 1

Company Name*
Please enter the company name for your past employer.

Address*
Please enter your employer's address.

Address Line 2
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City*
Please enter your employer's city.

Province*
Please enter the 2 letter abbreviation for your employer's Province.

Postal Code*
Please enter your employer's postal code

Are you currently employed here?*
Please let us know if you are currently working for this employer.

Start Date*
When did you start working with this employer?

End Date*
When did you stop working with this employer?

Your position*
Please tell us your position with this employer

Contact Person*
Please provide a contact person for this employer.

Contact Phone*
Please provide a contact number for this employer.

Would you like to add another employer?*
Please respond yes or no.

Employer 2

Company Name*
Please enter the company name for your past employer.

Address*
Please enter your employer's address.

Address Line 2
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City*
Please enter your employer's city.

Province*
Please enter the 2 letter abbreviation for your employer's Province.

Postal Code*
Please enter your employer's postal code

Are you currently employed here?*
Please let us know if you are currently working for this employer.

Start Date*
When did you start working with this employer?

End Date*
When did you stop working with this employer?

Your position*
Please tell us your position with this employer

Contact Person*
Please provide a contact person for this employer.

Contact Phone*
Please provide a contact number for this employer.

Would you like to add another employer?*
Please respond yes or no.

Employer 3

Company Name*
Please enter the company name for your past employer.

Address*
Please enter your employer's address.

Address Line 2
Invalid Input

City*
Please enter your employer's city.

Province*
Please enter the 2 letter abbreviation for your employer's Province.

Postal Code*
Please enter your employer's postal code

Are you currently employed here?*
Please let us know if you are currently working for this employer.

Start Date*
When did you start working with this employer?

End Date*
When did you stop working with this employer?

Your position*
Please tell us your position with this employer

Contact Person*
Please provide a contact person for this employer.

Contact Phone*
Please provide a contact number for this employer.

 

Hobbies, Interests and Skills

Please tell us about your hobbies, interests and skills.

Please list skills and interests.*
Please list your hobbies, interests and skills.

Qualifications

List any talents, training, education or other qualifications that have prepared you to work with youth.

Please list qualifications*
Please list your qualifications.

Do you have any youth-related work or volunteer experience?*
Do you have any youth-related work or volunteer experience?

Youth Volunteer Experience

Please list up to 2 positions that demonstration youth volunteer experience.

Volunteer Position 1

Organization Name*
Please include the organization name.

Description of Work*
Please describe what you did for this organization

Are you currently volunteering for this organization?*
Please let us know if you are currently volunteering for this organization.

Start Date*
When did you start this volunteer work?

End Date*
When did you end this volunteer work?

Supervisor's First Name:*
Please enter your supervisor's name for this position.

Supervisor's Last Name:*
Please enter your supervisor's name for this position.

Contact Phone:*
Please enter a contact phone number.

Would you like to list a second volunteer position?*
Please select yes or no.

Volunteer Position 2

Organization Name*
Please include the organization name.

Description of Work*
Please describe what you did for this organization

Are you currently volunteering for this organization?*
Please let us know if you are currently volunteering for this organization.

Start Date*
When did you start this volunteer work?

End Date*
When did you end this volunteer work?

Supervisor's First Name:*
Please enter your supervisor's name for this position.

Supervisor's Last Name:*
Please enter your supervisor's name for this position.

Contact Phone:*
Please enter a contact phone number.

 

Information About your Ability to Work with Children and Youth

In order to continue to provide a safe and secure environment for the Organization’s children and youth, we believe it is necessary to ask you the following questions. All information will be kept in confidence by organizational leadership and the Plan to Protect team and will not be disclosed by the Organization unless required by law. Answering “yes” to any of the following questions may not necessarily prevent you from volunteering with the Organization. Thank you in advance for your understanding.

Are there any circumstances involving your lifestyle or history that could call into question your ability to work safe with children or youth? (e.g. use of illegal substances, etc.)

*
Please answer yes or no.

Have you ever been convicted or found guilty of a criminal offence for which a pardon has not been granted? (Note: this does not include minor traffic violations)

*
Please answer yes or no.

Please list offence(s) and date(s) of conviction*
You must complete this field if you selected yes to this question.

Have you ever been expelled from or had your employment terminated by any organization or employer for assault or violence against any person, or for assault, violence or impropriety with children, youth or vulnerable persons? (e.g. senior citizens or persons with disabilities)

*
Please answer yes or no.

Have you ever been investigated by the Child Welfare Agency or any other organization for suspected child abuse?

*
Please answer yes or no.

Have you ever been a defendant or respondent in a civil lawsuit or human rights complaint or other legal proceeding in which you were alleged to have abused or engaged in violence, harassment or other immoral or illegal behavior or conduct involving children, youth or vulnerable persons?

*
Please answer yes or no.

Do you have any health concerns which could impact your ability to perform the functions of the volunteer position for which you are applying? (Please note that such health concerns may not prevent you from holding the position for which you have applied)

*
Please answer yes or no.

Do you have any contagious diseases or conditions of which we should be aware, and which we may need to take steps to protect against transmission should you become part of our organization?

*
Please answer yes or no.

References

Please provide two letters of reference that include their name, address, phone number and e-mail address. Reference letters from family members are not acceptable.

Reference Letter 1*
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(5MB maximum. PDF, DOC, or DOCX only)

Reference Letter 2*
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(5MB maximum. PDF, DOC, or DOCX only)

 

Release of Information and Declaration of Intent

I hereby give The Windsor Youth Centre permission to contact persons named as references to ascertain my suitability for working with children and youth.

I hereby give the Organization consent to verify the information provided by me in this Personnel Application Form and to contact the references and current and former employers listed above and to obtain and verify any information from them (and any other persons that the Organization determines might be able to provide relevant information) that may be relevant to my application.

I grant my permission for the Organization to perform a police records check on me, and I will indicate this by checking the box below. I further grant the Organization permission to perform an Internet search on me and to review and consider any information found.

I understand that if the Organization approves my application and later determines, in its discretion, at any time that I am not suitable for service in the Organization or for the position for which I am applying, the Organization may terminate my service or position for any reason without advance notice.

If the Organization approves my application for a position, I will sign any documents that the Organization requires and will at all times co-operate fully with the staff of the Organization in the fulfillment of my duties and will keep all confidential information I encounter in my role confidential.

If at any time I determine that for any reason I am unable to support or adhere to or follow the policies or procedures of the Organization, I will tell the Organization and will resign my position.

I hereby acknowledge that, to the best of my knowledge, the information contained in this Personnel Application Form is true and correct.

I have read and agree to the above terms.*
You must agree to the terms of the application.

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Donate Today

Without any ongoing government funding, we depend on your generosity to continue our work. For more information on how you can help in any number of ways, please follow the link below.

Donate today

We're home. Stop by.

The Windsor Youth Centre is open Monday to Saturday from 5pm until 10pm. We're closed on Sundays.

The Windsor Youth Centre

1247 Wyandotte Street East
Windsor, Ontario N9A 3K6

226-674-0006
[email protected]

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