Volunteer Application Form

PERSONAL INFORMATION

Application Date*
First Name*
Last Name*
Preferred Name (if applicable)
Email*
Mailing Address*
Home Phone/Cell Phone*
Business Phone
Age Category Under 18 years of age18–2526–6565+

PERSONAL INTEREST

Why do you want to volunteer?
Community Involvement/Give Back40 Hours of Community Service (High School Requirement)Work ExperiencePracticumOther
Have you volunteered with Dixon Hall Neighbourhood Services before? YesNo
If yes, when and with which program:
How did you hear about Dixon Hall Neighbourhood Services?*
Volunteer TorontoPlace of WorshipLibrarySchoolPresentationRadioInternet/WebsiteFriendFlyerEmployment Services
What motivated you to apply to Dixon Hall Neighbourhood Services for volunteer work?*

EDUCATION & LANGUAGES

Level of Education: High School
Name of School or Course of Study
Highest Level Completed
Currently Attending

Level of Education: Post-Secondary
Name of School or Course of Study
Highest Level Completed
Currently Attending

Level of Education: Other
Name of School or Course of Study
Highest Level Completed
Currently Attending

Special Training or Skills Received:
I am fluent in the following languages: EnglishFrenchOther
Current Employment Status: Full-timePart-timeStudentRetiredUnemployed
CV My resume/CV is attached, which includes my employment history
Upload Resume:-

EMPLOYMENT HISTORY

Employer Name:
Job Title:
Start Date:
End Date:

Employer Name:
Job Title:
Start Date:
End Date:

Employer Name:
Job Title:
Start Date:
End Date:

VOLUNTEER EXPERIENCE

Organization Name:
My Role:
Start Date:
End Date:

Organization Name:
My Role:
Start Date:
End Date:

Organization Name:
My Role:
Start Date:
End Date:

AVAILABILITY

Morning SUNMONTUESWEDTHURSFRISAT
Afternoon SUNMONTUESWEDTHURSFRISAT
Evening SUNMONTUESWEDTHURSFRISAT
How long of a commitment are your prepared to make? 3 months6 months9 months1 yearOn-going
How often would you like to volunteer? 1 shift/week2-3 shifts/weekSpecial events only
Are you volunteering to meet specific requirements? (i.e. community service) YesNo
If yes, how many hours?*

VOLUNTEER OPPORTUNITIES

(check as many as you’re interested in applying for)

For detailed information on our volunteer opportunities, please visit our website at www.dixonhall.org/volunteer.

Chinese Client Program Support – Cantonese and/or Mandarin Speaking

Program: Chinese Client Intervention, Seniors Services As-needed, once a week for 1 to 3 hours

Yes

Hairstylist

Program: Housing Services 1 shift a month for approximately 3 hours

Yes

Alzheimer Day Program Assistant

Program: Alzheimer Day Program, Seniors Services Once a week for 3 to 5 hours

yes

Community Corner Program Assistant

Program: Adult Day Programs, Seniors Services Tuesdays and Thursdays from 10:00 am to 2:00 pm

Yes

Meals on Wheels Driver

Program: Meals on Wheels, Seniors Services Weekdays and weekends from 11:00 am to 2:00 pm

Yes

Meals on Wheels Runner

Program: Meals on Wheels, Seniors Services Weekdays and weekends from 11:00 am to 2:00 pm

Yes

Program Assistant – Cantonese Speaking

Program: Health & Wellness Program, Seniors Services 1 Monday a month from 9:30 am to 3:00 pm for the Birthday Lunch plus an additional 4 hours a month

Yes

Food Support

Program: Conversation Circle, Settlement Services Tuesdays and Fridays from 9:00 am to 11:30 am or Wednesdays from 12:00 pm to 2:30 pm

Yes

REFERENCES

Two references are required to process your application. Please submit professional/character references only. Family member and/or personal friend references are not accepted.

Name:
Phone Number and/or Email:
Relationship:
Name:
Phone Number and/or Email:
Relationship:

By submitting this application, I understand that:

Dixon Hall Neighbourhood Services encourages diversity among our volunteers and recruits prospective volunteers from a broad range of abilities and backgrounds. Dixon Hall Neighbourhood Services adheres to the principle of the right to equal treatment without discrimination. If you require ACCOMODATION in order to participate in the volunteer program, please describe your needs here:
Volunteer placement is made on the basis of program requirements, the skills and experience of the applicant and when appropriate, successful reference checks. Dixon Hall Neighbourhood Services may need to collect personal information (academic background and employment/volunteer history) appropriate to the position(s) applied for, as well as for the purposes of conducting reference checks. Dixon Hall Neighbourhood Services adheres to the Freedom of Information and Protection of Privacy Act and will not trade or sell your personal information to others.
By selecting the ‘I agree’ box below, you acknowledge that the information provided is true and accurate and that you have read and understood the points above.

Yes I agree
Date:
Yes Your contact information will be used to keep you updated on volunteer program news, as well as to share information with you about Dixon Hall’s programs, events and other volunteer opportunities. Please tick this box if you DO NOT wish to receive these benefits.

Volunteer Contact Information

192 Carlton St. 2nd Floor Toronto, ON M5A 2K8
Monday to Friday from 8:30 am to 4:30 pm
t. 416.863.0499 x3225
f. 416.962.5541
e. volunteer@dixonhall.org