Volunteer Application Form First Name(Required)Last Name(Required)GenderMaleFemaleUnknownNon-BinaryDate of Birth(Required) DD slash MM slash YYYY Your Canadian Status(Required)Canadian CitizenGovernment Assisted Refugees (GAR)Permanent ResidentRefugee Claimant (RC)Student - Study PermitVisitor Visa - Temporary Resident VisaWork PermitUkraine CUAET PermitPrivate Sponsored Refugees (PSR)Naturalized CitizenLanguages Spoken(Required)EnglishFrenchAffarArabicChineseFarsi (Persian)KoreanMandarinTagalogAcholiAdaAfghanAfrikaansAkaAkanAklanonAkraAlbanianAmerican Sign Language (ASL)AmharicAnuak (Anywa)AranArmenianAshantiAssameseAssyrianAzeriBahasa IndonesianBalochiBambaraBamileke / GhomalaBansoBantuBauleBelarusianBelenBembaBembeBengaliBeniBeninBerberBetiBhariBicol/Bikol/BicolanoBijaiyaBilenBiniBisayaBissaBontokBraille (translation only)BretonBulgarianBurji / Bembala / Bambala / DaashiBurmeseBusanBusangoCantoneseCatalanCebuanoChakmaChaldeanChaochoChavacanoChichewaChinChinese - Simplified (TRANSLATION ONLY)Chinese - Traditional (TRANSLATION ONLY)ChiuchowChiyaoChowchauConcaniCreeCreoleCroatianCzechDagaareDanishDariDaza / Dazaga / TebuDinkaDioulaDutchDzongkhaEdoEfikEsanEstonianEweFangFantiFe'fe / Fe'efe'e / Nufi / BafangFilipinoFinnishFlemishFoochowFoukiFoullahFukineseFulaniGaGaelicGeorgianGermanGrebo/KrumenGreekGuerzeGujaratiHainamHakha ChinHakkaHararaHararyHargarHassanyaHausaHebrewHiligaynonHindiHindkoHokkinHungarianIbibioIboIcelandicIdomaIgboIgorotIjawIkaIlicanIlocanoIlongoIndonesianIshanItalianItsekiriIvbiosakonIziJapaneseJaraiJavaneseJingpoJolayJuba ArabicKacchiKakwaKanareseKandahariKankaniKannadaKapampanganKarenKashmiriKazakhKenyang / Nyang / Banyang / ManyangKhmerKifuliruKihavuKihemba/Hemba/Kiluba-HembaKikambaKikongoKinnauriKinyamulengeKinyarwandaKiregaKirundiKiswahiliKitubaKonkaniKpelleKrioKurdishKurmanjiKyrgyzLa langue des signes québécoise (LSQ)LaotianLariLatvianLebaneseLengieLingalaLithuanianLowmaLugandaLugishuLutoroMabanMacedonianMacenaMacuaMahouMakondeMalagasyMalayMalayalamMaligoMalinkeMalteseMandeMandingoMarathiMasalitMashiMendeMinaMizoMoldovanMongolianMooreNaandi/CemualNdebeleNepaliNgiemboonNgombaNorwegianNubianNuerNzimaOkoOkpeOriyaOromoOsalOther African LanguagesOther Chinese DialectsOther European LanguagesOther LanguagesOther Middle Eastern LanguagesOther Signed LanguagesOther South Asian LanguagesOther South East Asian Lang.OtuhoPahariPampangoPangasinanPashtoPeulPhuockienPidginPlautdietschPolishPortuguesePoularPunjabiRohingyaRomaniRomanianRukigaRunyankoleRussianRutooroSahoSamoanSangoSanskritSaraScoulaSechuanSenufoSerbianSerbo-CroatianSesothoSeswiSeychellesShanShanghaiShansaiShillukShonaSign LanguageSindhiSinhaleseSlovakSloveneSomaliSonghaiSoninkeSoraniSothoSoussouSouthern BurunSpanishSuesueSukumaSwahiliSwazaiSwedishSwiss GermanTaichewTamasheqTamilTariTatarTatshaneseTeluguTemneTeochewThaiTibetanTichiewTigreTigrignaTiminiTivToishanTshilubaTsibulaTurkishTwiUdukUhroboUigrigmaUkrainianUmbunduUnamaUnknownUrduUyghurUzbekVietnameseVisayanWarayWelshWestern Hemisphere Indian LangWolofXhosaYacoubaYako/Loko/LokaaYekhee/Afenmai/AfemaiYiboeYiddishYorubaZandeZshilubaZugandaZuluAddressCityCitySteinbachArborgAnolaAshernBeausejourEriksdaleFisher BranchFraserwoodGimliHodgsonIle Des ChenesKomarnoLa BroquerieLac du BonnetNivervilleOakbankPinawaPine FallsRicherRivertonSelkirkSeven Sister FallsSt-Pierre-JolysSt. AdolpheSt. MaloSte. AnneStonewallTeulonWhitemouthWinnipeg BeachAgassiz Provincial ForestAlexanderAlonsaAltonaAubignyAustinBaldurBasswoodBelmontBenitoBerens RiverBeulahBinscarthBirnieBirtleBissettBlumenortBoissevainBrandonBrochetBrookdaleBrunkildCampervilleCarberryCarmanCartwrightChurchillCooks CreekCormorantCowanCranberry PortageCrandallCross LakeCrystal CityCypress RiverDarlingfordDauphinDeloraineDominion CityDufresneDugaldEast BraintreeEastervilleEddystoneEdenEdwinElginElieElkhornElm CreekElmaEmersonEricksonEthelbertFalcon LakeFisher RiverFlin FlonFork RiverFoxwarrenGardentonGilbert PlainsGillamGirouxGladstoneGlenboroGlenellaGods Lake NarrowsGrand BeachGrand RapidsGrandviewGretnaGrunthalGypsumvilleHadashvilleHamiotaHartneyHazelridgeHeadingleyHeclaHollandIlfordInwoodIsland LakeKelwoodKentonKillarneyKleefeldKolaLa SalleLac BrochetLandmarkLangruthLeaf RapidsLibauLindenLittle Grand RapidsLockportLoretteLowe FarmLundarLynn LakeMacGregorMafekingManigotaganManitouMarchandMcAuleyMcCrearyMelitaMiamiMiddlebroMiniotaMinnedosaMintoMitchellMoose LakeMordenMorrisNeepawaNelson HouseNewdaleNorway HouseNotre Dame de LourdesOak LakeOak RiverOakvilleOchre RiverOtterburneOxford HousePansyPeguisPelican RapidsPikwitoneiPilot MoundPine DockPine RiverPineyPlum CouleePlumasPointe du BoisPoplar RiverPoplarfieldPortage la PrairiePrawdaRandolphRapid CityRathwellRed Sucker LakeRennieRestonRiversRoblinRolandRorketonRosaRoseau RiverRosenortRosewoodRossRossburnRussellSandilandsSandy LakeSanfordSartoSchanzenfeldShamattawaShiloShoal LakeSidneySiftonSnow LakeSnowflakeSomersetSourisSouth Indian LakeSouth JunctionSperlingSplit LakeSpragueSt. ClaudeSt. Francois XavierSt. Jean BaptisteSt. LaurentSt. LazareStarbuckSte. AgatheSte. Rose du LacSteep RockStrathclairSundownSwan LakeSwan RiverTadoule LakeThe PasThicket PortageThompsonTolstoiTourondTreherneTyndaleVassarVirdenVitaWaasagomachWabowdenWanlessWasagamingWaterhenWawanesaWinklerWinnipegWinnipegosisWoodlandsWoodmoreWoodridgeZhodaProvinceManitobaPostal CodeCell Phone(Required)Home PhoneEmail(Required) Education LevelHigh School or LowerPre-university/Post SecondaryCertificate/Diploma/ApprenticeshipBachelor DegreeMaster DegreePh.D.OtherEducation FieldVolunteer ProgramHow did you learn about us? Social media Friend or family referral Community Event School/University Flayer/Posters Why would you like to volunteer with us? To Gain Work Experience Interest in Helping People Building or enhancing professional network Assist in building a strong community Building or enhancing social network Giving back to the community To learn about different cultures & communities Improving soft skills (like confidence, communications) To help enhance my resume (for education or employment) What skills and knowledge would you like to use when volunteering?(Required) Conversational English Events Coordination Office/Admin Work Social Activities/Socialization Kids / Youth camps Resume and cover letter supports for newcomers Any other skills, hobbies, interests you would like to add?AvailabilityMonday Morning Afternoon Evening Tuesday Morning Afternoon Evening Wednesday Morning Afternoon Evening Thursday Morning Afternoon Evening Friday Morning Afternoon Evening Saturday Morning Afternoon Evening Sunday Morning Afternoon Evening Availability NotesPlease provide details of someone we can contact in case of an emergencyEmergency Contact Name(Required)Relationship(Required)DaughterFatherGrandfatherGrandmotherHusbandMotherNephewNieceSonSpouseWifeChildContact Phone(Required)Please provide 2 references (not relatives) who have known you for at least 6 months.(Please inform your references they will be contacted.)Reference Name(Required)Contact PhoneContact's Email(Required) Reference Name(Required)Contact PhoneContact's Email(Required) Upload your Resume(Required)Resume. Drop files here or Select files Accepted file types: pdf, jpg, Max. file size: 10 MB, Max. files: 1. Upload your IDs(Required)Please upload 2 IDs. Drop files here or Select files Accepted file types: pdf, jpg, Max. file size: 10 MB, Max. files: 2. AcknowledgementsCheck all if you agreeYes, I grant permission to securely store my information.(Required) Yes, I grant permission to securely store my information. Yes, I understand that a criminal record check is required for all positions.(Required) Yes, I understand that a criminal record check is required for all positions. I grant permission to add my email to the mailing list for the eNewsletter Volunteer Connections in order for me to stay up-to-date on volunteer program updates and opportunities.(Required)YesNoI agree to be added to newsletters. I agree to be added to newsletters. I understand that I must provide written notice if I no longer wish to volunteer.(Required) I understand that I must provide written notice if I no longer wish to volunteer. Are you able to commit to a minimum of 3 months as a volunteer?YesNoPhoto Consent I give permission to the Eastman Immigrant Services to take photographs of me during my participation in the following EIS programs or services. I consent to and understand that these photographs and images of me may be displayed on the EIS website, newsletter, promotional material and/or as part of a project report or other publication.I agree to the Photo Consent(Required)YesNoThis field is hidden when viewing the formPrograms (Admin Only)This field is hidden when viewing the formDate (Admin Only) DD slash MM slash YYYY This field is hidden when viewing the formApplication Status (Admin Only)This field is hidden when viewing the formDOC_TYPE1This field is hidden when viewing the formDOC_TYPE2CAPTCHA
