Welcome to the Bow Valley Connections Centre. We are always excited to meet new volunteers who would like to make a difference in a child’s life living with a developmental disability. Please fill the required application form in order to become a volunteer with the Bow Valley Connection Centre.

First Name*

Last Name*

E-Mail Address*

Phone Number*

Date*

Home Address*

Town/City*

Province*

Current Employer*

School's Name*

Emergency Contact*

Phone Number*

Parent/Guardian's Name*

For People Under 18 Years Old

Phone Number*

Have Worked With People With Developmental Disabilities*

Disability*

Interests*

Volunteer Contract

First Name*

Last Name*

Please read the volunteer handbook carefully and sign to indicate your agreement to the following terms: • Orientation and Training • Scheduling and Cancellation • Confidentiality • Abuse & Harassment Policies • Smoking, Drug & Alcohol • Food & Physical Safety Precautions • Emergency Procedures • Property Damage • Youth Volunteer Policies (for volunteers under age 18)

Name*

Date*

Signature of Applicant*

Under 18 Years Old, Parent/Guardian Must Sign The Form

Where Did You Hear About Us*

Why Do You Want to Volunteer With Us*

References

Name*

Phone Number*

Name*

Phone Number*

Photo and Media Release

Photo Media Release*

YesNo

Consent to and authorize the use and reproduction by Bow Valley Connections Centre (BVCC) of any and all photographs and any other audio/visual materials taken for promotional material, educational activities, exhibitions, or for any other use benefiting BVCC and waive any rights of compensation or ownership thereto.

Name*

Date*

Signature of Applicant*

Under 18 Years Old, Parent or Guardian Must Sign

Liability Release

I, the volunteer, release and forever discharge and hold harmless BVCC and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the services I provide to BVCC. I understand and acknowledge that this Release discharges BVCC from any liability or claim that I may have against BVCC with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services I provide to BVCC or occurring while I am providing volunteer services.

Name*

Date*

Name*

Volunteer Contract

References

Photo and Media Release

Liability Release

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