Volunteer Application

Volunteer Your Care

Donate your time and skills to improve the quality of life for the clients of Luther Court.
Your application form will only be accepted if all of the fields are filled in and questions answered. We look forward to receiving your application.

Name*
First Last
Address*
Street Address City Province Postal Code
Email*
Phone*
Date of Birth*
Date Format: DD slash MM slash YYYY
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Emergency Contact
Name*
Phone*
Relationship*
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Experience
Work Experience*
Volunteer Experience*
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I am interested in serving in the following areas:*
Briefly state areas where you have skills or expertise, i.e. artistic talent; hobbies you enjoy and could share with others, specific skills you may have. I am interested in serving in the following areas:
- Activity Volunteer – to assist staff with group activities
- Hymn Sing Musician -Accompany residents singing hymns during morning devotions
- Garden Cafe - operating the cash register & serving coffee & lunch
- Gazebo Gifts & Sweets – selling novelties, crafts, sweets & toiletries
- Gardener – to assist clients with their patio gardens
- Hair Salon Porter – accompany clients on weekly visits to hairdresser
- One to One Visitor – share a weekly chat, game or other activity
- Palliative Care – provide comfort to client in the last phase of life
- Walking Companion – accompany a client on short stroll
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Other Volunteer Areas*
Other areas not listed that you would like to serve as a volunteer
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Availabilty*
When are you available? Please include days of the week and a range of times.
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Reasons for wanting to do volunteer work:*
Reasons for wanting to do volunteer work:
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References*
References (Please include at least one agency contact where you have previously been a volunteer):
Name* Phone* Address*
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Do you consent to having a criminal record check?*
Do you consent to having a criminal record check?
- Yes
- No
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By submitting this application, you are agreeing to the following: I certify that all the information on this application is true, correct and complete. I agree that if accepted, my continued volunteering by Luther Court may be contingent upon accuracy and completeness of that information. I hereby authorize Luther Court to make a personal investigation of me which includes reference checking. Such investigation shall be within limits established by law in the province of British Columbia Due to the high volume of applications, only those selected for interview will be contacted.
Comments
This field is for validation purposes and should be left unchanged.

Name*	Phone*	Address*

Volunteer Your Care

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Emergency Contact

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Experience

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