Thank you for your interest in becoming a volunteer with Make-A-Wish Northern Alberta. We use this application during our screening process to identify the volunteer position that is best suited for you and one that meets the needs of our Foundation. Following the submittal of this application, you will be asked to meet the volunteer coordinator in person and complete a police information background check and child intervention record check. Once these steps have been completed applicants will be asked to attend a volunteer training session. We appreciate your cooperation in answering the following questions as thoroughly as possible.
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Emergency Contact |
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Volunteer & Community Involvement |
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Have you ever done volunteer work before?
If yes, please list, beginning with present or most recent experience: |
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Organization Name: |
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| Provide Details of Your Roles and Responsibilities: |
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Organization Name: |
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| Supervisor Name: |
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| Provide Details of Your Roles and Responsibilities: |
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References
Please provide one professional reference and one character reference (non-family). |
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Professional Reference |
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Character Reference |
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Additional Information |
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How did you hear about Make-A-Wish Northern Alberta?
Tell us about yourself, and your reason for choosing Make-A-Wish® for your volunteer activities.
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Do you have any special work-related skills, interests or hobbies that could be beneficial for our Foundation?
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What do you hope to gain from this volunteer experience?
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How many volunteer hours do you anticipate you can give to Make-A-Wish Northern Alberta (per week/month/etc.)?
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| Are you willing to travel to perform your volunteer duties?
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What type of volunteer opportunities interest you most? Check all that apply.
*Note: If you checked off Wish Granting or Wish Interviewer, please complete the section below, otherwise, skip to next section of application
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Wish Granting and Wish Interviewing
Wish Granting and Wish Interviewing are very unique and important roles, requiring a unique commitment.Wish Grantors & Wish Interviewers require training, project and time management, strong communication, problem solving skills, the ability to work with diverse groups of people, some travel and often, a greater time commitment than other volunteer roles.
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Do you feel you have the time and personal qualities required for such a commitment?
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Please explain why you are interested in interviewing or granting wishes to children with life-threatening medical conditions?
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What abilities and/or qualifications can you bring that make you a good match for this volunteer role?
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Make-A-Wish® Privacy of Information Policy
Information provided by volunteer applicants, and ascertained through Police Records Checks & Vulnerable Positions Screenings, will only be used for the purpose of the volunteer’s position with the Make-A-Wish Foundation of Northern Alberta, and will not be given to any other organization or outside party.
It is the responsibility of the Make-A-Wish Foundation of Northern Alberta to make all volunteers aware of the areas that a Police Records Check & Vulnerable Positions Screening search will be conducted. Information to be searched by Police Services will include:
- Pardoned sex offences
- Criminal record (Adult)
- Probation, Prohibition and other judicial orders which are in effect
- Record(s) of conviction for offences under the “Child & Family Services Act”
- Occurrences
- Criminal record (Young person)
- Records of “Not criminally responsible on account of mental disorder”
- Pending charges under Federal Statutes
- Pending charges under the “Child & Family Services Act”
Authorization and Consent
In order to safeguard the clients which the Make-A-Wish® Foundation of Northern Alberta serves, I understand the need for the Make-A-Wish Foundation of Northern Alberta to carefully screen all volunteer applicants.
Therefore, I hereby authorize that:
- I have completed and reviewed this entire form, and attest that the information I have provided is true.
- I agree and acknowledge that the Make-A-Wish Foundation of Northern Alberta will contact the individuals I have given as references, and will verify the accuracy of all information I have provided.
- I understand that a condition of acceptance for any volunteer role with the Make-A-Wish Foundation of
Northern Alberta is that I complete a Police Records Check & Vulnerable Positions Screening.
- I understand that any false information I have given, or any incident recorded on my Police Records
Check & Vulnerable Positions Screening may result in my being unaccepted in any volunteer role with the Make-A-Wish Foundation of Northern Alberta.
- I understand that the Make-A-Wish Foundation of Northern Alberta has the right to deny any individual as a volunteer for the Foundation, and reserves the right have a Police Records Check & Vulnerable
Positions Screening conducted again at any time during a volunteer’s service with the Foundation.
- I, the undersigned, hereby consent to my photo, film, videotape or words being used by the Make-A-Wish Foundation of Northern Alberta for promotional and information purposes. I understand that there is no remuneration of any kind for the use of my photo, film, videotape or words that they become the sole property of the Make-A-Wish Foundation of Northern Alberta.
- I hereby for myself, my heirs and personal representatives assume any and all risks which might be associated with my volunteer service for the Make-A-Wish Foundation of Northern Alberta. I further waive, fully and unconditionally release, forever discharge and covenant not to sue the Make-A-Wish Foundation of
Northern Alberta and its directors, employees, sponsors, organizers, volunteers, or other representatives, and clients, or their successors and assigns, for any and all injuries, damages or losses of any kind whatsoever sustained by myself.
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I have read this Authorization and Consent Statement and fully understand its contents.
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