Volunteer Application Form

If interested in becoming a 4-H Volunteer, please fill out the following:

County/District (Make a selection from the drop down menu):
   
Basic Information:  
FULL Name:
Gender:
Address:
Postal Code:
Are you 18 years or older?
Previous Address (within last 5 years):
Home Phone: (555-333-4444)
Business Phone: (555-333-4444)
Email Address:
  The e-mail field MUST be filled in so that your application can be submitted. If you do not have an e-mail address, please enter N/A.
Do you have a valid Ontario Driver's License?
   
Employment Information:  
   
Current Employer:
Occupation:
Can we call you at work?
   
Volunteer Information:  
   
Have you ever been a 4-H volunteer?
If yes, how many years? Where?
What 4-H opportunities did you volunteer for?
What are your reasons for volunteering?
Do you have experience working with youth in other organizations (if any)? If yes, where and when?
Please list any special training, interests, skills or education:
Do you have first aid training/CPR?
If yes, what certification has been achieved:
Year:
What type of volunteer position would you prefer (mark yes to all that you are interested in)?  
Project leader
4-H event coordinator (i.e. judging competition, Go For The Gold, bus trip)
4-H chaperone/facilitator at a regional/provincial/national event
4-H Exchange chaperone
Other
   
References: It is important to know that your references will definitely be checked. Please list three persons not related to you who have definite knowledge of your qualifications and have known you for at least two years. We will contact the individuals listed by phone or letter and ask them to respond to a short questionnaire. All responses will be confidential.

Note: Clergy and physicians are bound by professional oaths to keep personal information confidential on individuals in their care or faith. Lawyers, bank managers, accountants and investment brokers should be used with caution as well due to the confidential nature of their profession and information to which they have access. If the reference can comment on the individual from a volunteer position (i.e. worked with the individual on a committee) than they could be considered as viable reference.
   
Reference 1:  
Name:
Phone: (555-333-4444)
Address:
Reference 2:  
Name:
Phone: (555-333-4444)
Address:
Reference 3:  
Name:
Phone: (555-333-4444)
Address:
Have you entered an e-mail address? If you do not have an e-mail address BE SURE that you have entered n/a BEFORE hitting submit application.

By submitting this form you agree to the following commitment

For the purpose of determining my suitability as a 4-H volunteer, I:

1. agree to participate in a 4-H volunteer training program within 90 days of applying.

2. understand that the information included on this form may be verified by contacting persons organizations named in the application.

3. understand that misrepresentation or omission of information requested is just cause for non-appointment as a 4-H volunteer.

4. agree to abide by all policies of the 4-H program and to fulfill the volunteer responsibilities to the best of my ability.

5. have read and understand the philosophy and the purpose of the Ontario 4-H program.

Upon completion of the Volunteer Recruitment and Screening process (including reference check, Police Records Check and interview), you will be notified of whether you have been accepted or declined as a 4-H volunteer.