Volunteer Application

PLEASE MAKE NOTE OF LOGIN DETAILS FOR FUTURE USE OF OUR VOLUNTEER PORTAL

Personal Information

Prefix

* First Name

MI

* Last Name

* Home Address

* City

* Prov

* Postal Code (enter without a space)

Major Intersection

* Primary Telephone No.

Secondary Telephone No. (optional)

* E-mail Address (optional)

Primary language spoken/written:

Other languages spoken/written:

Emergency Contact Information

* Contact Name

Relationship

Address

City

Prov.

Postal Code

* Primary Telephone No.

Secondary Telephone No. (optional)

E-mail (optional)

About You

Please provide as much information as possible so that we can match you with the right volunteer opportunity

Age range

Pick the option that best describes you

If you selected other, please describe:

High school students specify grade/Postsecondary students specify program of study

Select your top three reasons for volunteering

Academic credit

Explore career options

Contribute to healthcare

Help others

Stay active and involved

Learn new skills

Relative/friend volunteers

Work with children

Work with seniors

Practice English skills

Social interaction

Other (please specify)

If you selected other, please specify:

Do you have a valid First Aid & CPR certificate?

Type of Certification:

Expiry Date:

Do you need volunteer hours to fulfill academic requirements?

If yes, how many?

When are these hours due?

(Please be advised that our volunteer opportunities are not co-op placements)

The Region of Peel has several program locations. In which area(s) would you prefer to volunteer?

Brampton

Caledon

Malton

Mississauga

What types of volunteer roles you are interested in?

Volunteer Position(s) of Interest

Peel Regional Paramedic Services

Long Term Care/Adult Day Services

Public Health Programs

What is your availability?

Please note that majority of our volunteer needs are during daytime hours with the exception of mass vaccination clinics,
check our How Volunteers Help page for specific program schedules.

Any Time, I'm flexible

Summer Availability only

Monday

9am - 12pm

12pm - 4pm

4pm - 8pm

8pm - 11pm

Tuesday

9am - 12pm

12pm - 4pm

4pm - 8pm

8pm - 11pm

Wednesday

9am - 12pm

12pm - 4pm

4pm - 8pm

8pm - 11pm

Thursday

9am - 12pm

12pm - 4pm

4pm - 8pm

8pm - 11pm

Friday

9am - 12pm

12pm - 4pm

4pm - 8pm

8pm - 11pm

Saturday

9am - 12pm

12pm - 4pm

4pm - 8pm

8pm - 11pm

Sunday

9am - 12pm

12pm - 4pm

4pm - 8pm

8pm - 11pm

(Shifts are typically 2-4 hours a week for a minimum of 40 - 60 hours for ongoing opportunities)

Skills Profile

Please select any/all skills you have:

In 250 words or less please provide details on any or all of the following: Your current or past work, volunteering, education or training, relevant skills and talents you would like to share:

Where did you hear about volunteering at the Region of Peel?

Have you previously worked or are currently working for the Region of Peel?

If yes, when did you work at the Region of Peel?

Have you previously volunteered for the Region of Peel?

If yes, when did you volunteer with us and where?

Have you ever been convicted of a criminal offence for which you have not received a pardon?

Please note: Volunteer placement offers are conditional upon providing an acceptable Police Vulnerable Sector Records Search.

It is the Region's policy that all applicants for volunteering will be recruited on the basis of qualifications, ability and interest without regard to race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, age, record of offences, marital status, family status, or disabilities as defined in the Ontario Human Rights Code.

Important Notice

Volunteer Resources Privacy Statement:

Personal information is collected under the statutory authority of the Occupational Health and Safety Act. Personal information on this form will be used to determine suitability for volunteer initial and on-going placements with the Region of Peel, as well as program evaluation and assessment. Questions about the collection and use of personal information should be forwarded to Volunteer Resources, 7120 Hurontario Street, 2nd Floor, Mississauga, ON L5W 1N4 (905)799-7700.

Declaration

Please read carefully before checking off the box below:

* By checking this box I hereby certify that all of the information that I have provided in this application is accurate and true and I understand that any false or misleading statements or deliberate omissions made by me on this application or during the volunteer recruitment and selection process may be sufficient cause for the cancellation of this application and, if I have been placed in a volunteer position, for the immediate termination of my volunteer placement at the Region of Peel.

Please add volunteerresources@peelregion.ca and peelregion.ca to your safe sender list on your email settings. This will prevent the interview invite and other important updates from us being filtered into your spam folder. Either way, please monitor your Spam/Junk mail folders regularly.

Thank you for completing your Volunteer Application form. Please note that submitting a Volunteer Application does not guarantee a volunteer placement. Once your application is reviewed a member of our staff will contact you to let you know the next steps in becoming a Region of Peel volunteer. We are currently experiencing high volume of volunteer applications. We review all Volunteer Applications, however there are a limited number of positions so we will only contact those applicants who have been selected for an interview. Please do not expect a response in 5 days because of the current volume of applications.

Welcome to the Region Of Peel - Health Services Volunteer Application Form