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Volunteers

By becoming a volunteer, you are affirming the mission and vision of CICS, which aim at making positive impact on the lives of immigrants and newcomers.

If you wish to leave a positive note on someone’s life, please register to become a volunteer by completing the attached Volunteer Registration Form, and email it to vicki.zhang@cicscanada.com, or fax it to 416-292-9120.

For detailed information, please contact the Volunteer Coordinator at 416-292-7510, x105.

Fields marked with * are mandatory.

* First Name :

* Last Name :

* Address :

* Postal Code :

* City :

* Telephone :

( ) -

* Email :

Age :

* Gender :

* Status in Canada :

Citizen Landed Immigrant Other :

* Medical Coverage :

Ontario Health Coverage
Valid Until :

Private Medical Insurance
Valid Until :

* Years in Canada :

Country of Origin :

	Canada
	Other :
	If else, please specify :

* Highest Education :

Elementary School	High School	College

University/Postgraduate	Other (Please Specify) :

* First Language :

	English

	Other :

	If more than one language, please specify :

* Second Language :

	English

	Other :

	If more than one language, please specify :

* Preference of Service Location :

Scarborough	Toronto	North York

York Region	Mississauga

Other (Please Specify) :

Frequent Mode of Transportation :

* Please indicate the area(s) of service you are interested in by putting a check mark in the appropriate box(es) :

	Children`s Summer Camp		Information Counseling
	Children & Youth Program		Interpretation
	Computer Support		Reception
	Data Entry & Clerical Work		Survey/Telephone Interview
	Exhibition & Display Production		Tax Return
	Fundraising		Translation
	Host Program		Tutoring
	Information Booth		Program/Workshop Assistance

* Time Availability :

Weekday	Weeknight	Weekend

Summer Vacation	Other Holidays (Please Specify) :

* Source of Referral :

* Past or Present Occupation :

* Skills/Abilities :

Organizational Skills

Communicational Skills

Interpersonal Skills

Computer Skills

Writing Skills

Other (Please Specify) :

Volunteer Experience

Period :

Agency :

Nature of Work :

Any conditions (medical/physical/other concerns) that we should be aware of :

* I understand that I must notify the staff/volunteer coordinator on-duty if I have any special conditions (medical/physical/ other concerns) which may influence me performing the assigned volunteer duties.

* I hereby agree to participate in volunteer activities for CICS and to receive emergency treatment, if necessary. I hereby release the Centre for Information & Community Services of Ontario from all claims arising from any accident, loss or injury which are caused by or arisen from such participation and/or treatment.

* I hereby consent to my being videotaped and photographed by the media during my volunteering at CICS. I also give consent for such videotape and photographs to appear in the print media, broadcast media, CICS publications, CICS promotional material, and CICS website.

* I hereby agree that I will hold strict confidentiality of any personal or classified information that I may come across in the course of performing volunteer services for CICS. I understand that my disclosure of such information in any form may lead to civil action instituted against me.

* Secure Number :

Type the numbers you see on the left

Submit

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