VOLUNTEER APPLICATION
If you do not wish to apply on-line, click
here
to get a printable version to mail to us.
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* Required information.
Personal Information
Full Name:
*
E-mail:
*
Home Phone:
*
Fax:
Address:
City:
*
Province:
Languages spoken other than English:
Experience in Mediation or Conflict Resolution:
Mediation or ADR training:
Any major community and/or volunteer activities:
Employment
Current Employer:
Work Phone:
Position/Title:
Approx. Length of Employment:
May we contact this employer:
No
Yes
Education
Education Level:
*
Continuing/Other Education:
References
1. Name:
*
Phone:
*
Address:
Relationship:
*
2. Name:
*
Phone:
*
Address:
Relationship:
*
Additional Information
Experience, skills, qualities, and abilities you think you would bring as a volunteer to our organization:
*
Your main reason for seeking volunteer work with our agency:
*
Days and/or evenings you can volunteer:
*
How you heard about Oakville Dispute Mediators Inc:
*
Signature:
*
By typing your full name and clicking Submit, you agree that this shall be accepted as your official signature. You may be asked to sign another form in person.
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