Application - Volunteer

Year

Date of Application *

First Name *

Last Name *

Email Address *

Home Address

Mailing Address

Fill in if different from home address.

Home Phone Number *

Cell Number *

Program

If you are applying for placement in a particular CSCL Program, please specify the name of program(s).

Availability

Availability Comments

Reason for Application

Why are you applying to volunteer with the Chilliwack Society for Community Living?

Allergies/ Limitations *

Please describe any known allergies (ie. pets, foods) and any limitations you may have relating to them.
If none please type N/A

Relatives *

If you have any relatives currently employed at CSCL, please list their name(s).

Relatives in service

If you have any relatives or anyone in your household currently receiving services from CSCL, please list their program(s).

Criminal Record Check

I want to volunteer with adults

I want to volunteer with children

I have no preference

If you are applying to volunteer with adults:
A Criminal Record Check must be obtained through the Ministry of Public Safety and Solicitor General/ Criminal Records Review Program (CRRP)
To obtain a Criminal Record Check, Volunteers must complete the Consent to a Criminal Record Check form available from CSCL. Once completed, submit form to CSCL HR Department.
The CRRP is free of charge for volunteers.

If you are applying to volunteer with Children/Youth a Criminal Record Check must be obtained through your local RCMP office. This is free of charge for volunteers.
Please contact the CSCL HR department of instructions.

Confidentiality Oath *

All matters and information pertaining to individuals that has been gained with the organization must be treated as confidential. Under no circumstances may an individuals information be divulged either inside or outside the organization other then to persons authorized to receive such information in the course of their duties.

**By typing your name in the space above, you are stating that you have read and reviewed the above CSCL Confidentiality Oath and that you understand that all individuals information to which you may have access is confidential and is not to be communicated except as outlined in the confidentiality oath.

Declaration

**By typing your name in the space above, you certify that all information in this application is true and complete. You understand that if any such information is at any time found to be false, such information may be cause for discharge or refusal of volunteer placement.

Additional Comments

Please click "OK" to submit your application.

Volunteer Placement

What site/ program will this volunteer be placed at?

Manager

Who will be the manager responsible for this volunteer?

CRRP Clearance

Yes

No

NA-placement is with children

Has the CRRP clearance letter been received? If no, please comment below.

CRRP comments

RCMP Clearance

Yes

No

N/A -Will be working with adults

Has the RCMP clearance been received? If no, please comment below.

RCMP Comments

HR Comments

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