Good Neighbours
Standing by each other.
Take Time to Reach Out.
Adult Volunteer # (For Office Use Only)
This volunteer application will be faxed to 65 local agencies and organizations in our community. Your name, address and other personal information will not be faxed at this time. Agencies will review the list of interests that you have checked off, and contact us if they are interested in you as a volunteer. At this time we will give the agency your name and number.
Community Volunteer Matching Program
Application Form
for
Adult Volunteers
Name
Address
City/Town Province Postal Code
Home Phone # Business Phone # Fax #
E-Mail Address
Best time to call
Special Interests you enjoy spending your leisure time at
New things you may enjoy learning
Skills you have that you enjoy using
Do you prefer to: Volunteer on your own
Volunteer with a friend(s)
Volunteer with your family
Good Neighbours Community Volunteer Matching Program Application
... page 2
Adult Volunteer #_________
Student School/College/University (Circle One)
Employed Employer
Full Time Part Time
Languages spoken
Languages written
Valid Driver’s Licence (Yes or No)
Times you would like to volunteer: (Circle)
Weekdays
Mon-Fri / DAY AFTERNOON EVENING
Evenings
Mon-Fri / DAY AFTERNOON EVENING
Weekends
Mon-Fri / DAY AFTERNOON EVENING
General
add & roll grocery tapes
roll pennies
collate
clean and repair toys
face paint
bingos
take pictures
sell tickets
draw and paint posters
decorate floats
decorate halls
cook BBQs
wrap Xmas gifts
sort clothes
sort toys
sort food
deliver posters
dress up as clown or mascot
move items
bartend
volunteer at information booths at events
judge events
repair items (bikes, coats, doors, etc)
cutting out articles and putting in scrapbooks
read books onto tapes
research information
OFFICE WORK
phone work
typing
data entry
photocopying
filing
computer work
organizing office supplies
faxing
HELPING PEOPLE
helping prepare meals
helping prepare personal budgets
driving people to and from appointments
friendly visiting
sewing
helping people with resumes
helping paint people’s homes and items in their homes
home improvements
general housework
shovel snow
helping people get their groceries
visit the sick/shut-ins
palliative care
patient care
foot care
manicures
legal issues
performing church services at Nursing Homes
public relations
public speaking
volunteer co-ordinator
liaison person
electrical assistance
plumbing assistance
masonry
tutor (what subjects?)
security
SPECIAL VOLUNTEER OPPORTUNITY
serving on committees
fundraising
mentoring
organizing children’s games
working at special events
visiting developmentally challenged
visiting seniors
public speaking
volunteer co-ordinator
liaison person
electrical assistance
plumbing assistance
legal issues
public relations
co-ordinating special events games
working at special events
visiting developmentally challenged
visiting seniors
Special interests:
other tasks not listed
Foster Parenting
Acceptional Riders Program(side walkers - walk beside horses helping secure riders - horse leader, leading horse around with rider in saddle and sidewalkers assisting)
Operation Red Nose
Meals on Wheels Delivering Meals
Brain Injury Association
Quiz night volunteers - February 28/2002 7-10
Bingo volunteers
Golf Tournie volunteers
Recreation Assistance
Sharing your talents of Woodworking, Photography, Scrapbooking, Art or Crafts etc.
Tilbury Information and Help Centre
Van Drivers Fun Fest Photographer
casino night Comber Fair phone work for
bingo volunteers Food Bank fundraising
Poster distribution hall decorating DJ
pick-up & delivery Special Season Breakfasts
United Way Committees:
Board of Directors
Fund distribution (Distribution of Funds to Funded Agencies of United Way - sitting on a Citizen Review Panel where you interview agencies for funding)
Campaign Cabinet (Fundraising)
Nominating Committee
Note: This volunteer has not been screened by the United Way so please follow your own screening policies. For more screening information call Tilbury Information and Help Centre 682-2268.
I hereby give United Way of Chatham-Kent permission to give this information to agencies and organizations within Chatham-Kent who are in need of volunteers.
____________________________ ___________________________
Signature Date