Required fields are marked with asterisks (*)

Grandview Lodge Volunteer Application

First Name

Last Name

Address

Town/City

Postal code

Email address

Phone

Previous Work/Volunteer Experience

Please list all previous work and/or volunteer experience

References

Please provide two references from previous volunteer roles you've held.

Reference 1

First name

Last name

Reference Phone Number

Reference Email

Description of volunteer duties

Reference 2

First name

Last name

Reference Phone Number

Reference Email

Description of volunteer duties

Consent

I understand that submitting this application form does NOT yet register me as a Haldimand County—Grandview Lodge volunteer. The following qualifications must be met before I may begin volunteering:

a successful personal interview with the Supervisor of Programs & Support
the acceptance of established volunteer policies and procedures
obtaining and submitting proof of Vulnerable Sector Police Clearance (if applicant is 18 years or older)
successfully participating in orientation session(s)

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I agree

Notice of Collection

Personal Information contained on this form is collected under the authority of the Municipal Act, 2001, as amended and will be used for the purpose of processing this application/request. Questions about this collection may be directed to Grandview Lodge at (905) 774-7547.