Volunteer Application Form

Please return this form electronically if possible.  If completing by hand, please print clearly.  All information gathered will be kept confidential and will only be used by the Township of Champlain.

Areas of Interest

Please rank your volunteering task preferences (choice 1,2,3)
Note that not all tasks are available at all times and in all areas.

Previous Experience

Commitment

References

Please provide the names and telephone numbers of three references.

I certify that the information in this form and attachment(s) is correct and complete.  I understand that I will be advised if a criminal record check, a driver's abstract and/or other program specific checks may be required.

* Applicants under the age of majority must have a parent/gardian fill out the following: 

I am aware of and support my child/legal dependant's decision to volunteer with the Township of Champlain.

Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act and will be used for the limited purpose of reviewing candidates for volunteer positions with the Township of Champlain.