ISLAMIC ASSOCIATION OF CANADIAN WOMEN
VOLUNTEER APPLICATION FORM
PERSONAL
INFORMATION
Legal name:
___________________________________________________________________
Address:
______________________________________________________________________
Postal
code: ___________________________________________________________________
Home phone:
__________________________________________________________________
Cell phone:
____________________________________________________________________
Work phone:
__________________________________________________________________
Email
address: __________________________________________________________________
Occupation:
____________________________________________________________________
Age group: 14-17 18-45 46-65 65+
BACKGROUND
INFORMATION
Describe
your reasons for wanting to volunteer for the IACW:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Education level completed: Less than high school High school College
University Post
graduate
Specialized
course/ training and, if a post-secondary student, please indicate what program
and year you are currently enrolled in:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
AVAILABLITY
& AREAS OF INTEREST
How long do
you intend to be involved?
Less
than a year 1-3 years Long term commitment
How many
hours per week/ month are you able to volunteer?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you have
any other major time commitments that you would like to share with us?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
WORK
& VOLUNTEER EXPERIENCE
Employed Retired Student Other: __________
Employment
history:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Volunteer
History:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
SKILLS
& EXPERIENCE
Special
interests, skills and hobbies:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Special
certification:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
EMERGENCY
CONTACT
Name: ___________________Relationship: _____________Phone number: ________________
Name: ___________________Relationship: _____________Phone number: ________________
REFERENCES:
Please
provide two references: a current and/ or previous employer and a character
reference. If you don’t have an employer reference, you may use a volunteer
supervisor or a professor or if you are self-employed, you may use a client or
business partner. A character reference is anyone other than a family member
who knows you well. It could be a work colleague, a close friend, or your
doctor. References must have known you for at least two years and be at least
19 years old.
REFERENCE
# 1
Relationship:
___________________________________________________________________
Legal name:
____________________________________________________________________
Address:
_______________________________________________________________________
Postal
code: ____________________________________________________________________
Home phone:
___________________________________________________________________
Cell phone:
_____________________________________________________________________
Work phone:
___________________________________________________________________
Email
address: __________________________________________________________________
REFERENCE
# 2
Relationship:
___________________________________________________________________
Legal name:
____________________________________________________________________
Address:
_______________________________________________________________________
Postal
code: ____________________________________________________________________
Home phone:
___________________________________________________________________
Cell phone:
_____________________________________________________________________
Work phone:
___________________________________________________________________
Email
address: __________________________________________________________________
Thank you for your interest in
volunteering with the Islamic Association of Canadian Women