/ Volunteer Application
Christmas Kettle Bell Ringer
Note: Information collected will be used solely for the purpose of communication for volunteering with The Salvation Army. Please complete this form as fully as possible. We respect your privacy. For a copy of our privacy policy please visit http://www.salvationarmy.ca/credits

Applicant Information

First Name / Last Name / Are you over 16 years of age? Yes No
Home Phone / Cell Phone / Email
Current address
Street / City / Province / Postal Code

Availability

Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
Morning
Afternoon
Evening

Records

Check if you need your hours logged / Community service for school / Court-ordered service

Self-Declaration

Have you ever been convicted of a criminal activity of a violent, sexual or theft nature? / Yes / No

Previous Experience

Have you previously volunteered for The Salvation Army? If Yes, complete section below. / Yes / No
City / Name of Location / Year of Service
Type of Activity

Emergency Contact Information

Name of person(s) to call in case of emergency
Relationship / Phone / Email

Reference (other than family member)

Name / Relationship / Phone

Keep in touch

Would you like to receive information about other volunteer opportunities? / Yes / No
AGREEMENT:
If accepted as a Salvation Army volunteer, I agree to the following:
1. To participate in designated training sessions when provided to help in my volunteer assignment.
2. To sign The Salvation Army’s confidentiality agreement.
3. To adhere to a smoke and scent free environment.
4. To support the principles of The Salvation Army and the implementation of The Salvation Army’s mission while on duty as a volunteer.
5. To give The Salvation Army permission to contact the above references.
6. 7. To provide my time and services without financial compensation.
8. To fulfill the volunteer hours agreed upon and wear required identification when on duty where applicable.
Signature of applicant / Date
Signature of Parent or Guardian (if under 16) / Date
Salvation Army Representative / Date