The Salvation Army

Vancouver Community & Family Services

3213 Fraser Street

Vancouver, BC, V5V 4B8

Tel: 604-872-7676

Fax: 604-872-7678

Email:

Web:

*PLEASE PRINT BELOW*

2015 Christmas Kettle Campaign – British Columbia Division
Kettle Host / Bell Ringer Application
I am applying for the Kettle Host position as a: Volunteer Employee / Date:
Check One: Mr. Mrs. Ms. Miss / Full Name:
Street Address: / Apt/Suite #:
City: / Province:
Country: / Postal Code:
Telephone: / Mobile:
Work/Other: / Email:
In case of an emergency, please contact:
Name: / Relationship:
Telephone: / Alternate:
Skills you have to offer:
I work well with others and take direction well / I have good organizational and planning skills
I am friendly, polite, and respectful to others / I am social and have good communication skills
I am punctual, reliable, and trustworthy / I have creative and helpful ideas
I am able to do heavy lifting and physical tasks / I possess a valid Driver`s License
Other, please comment:
Reasons for hosting:
To learn new skills or refine existing / To help others and/or give back
School practicum / course credits / Career development / build resume
To meet others / Community service for criminal offense
To receive Government subsidy / To earn money
Other, please comment:
Have you ever been employed by or volunteered with the Salvation Army? / Yes No
Date: / Ministry Unit/Corps:
Supervisor: / Telephone:
Please provide a brief description of your past and/or present community or volunteer experience:
Please provide a brief description of your past and/or present educational background:
Please provide a brief description of your past and/or present employment experience:
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2015 Christmas Kettle Campaign – British Columbia Division
Kettle Host / Bell Ringer Application (Continued)
Other Information / Resume Attached: Yes No
Any other abilities, skills, interests:
Languages: / Spoken: / Written:
Transportation Method: Bus, Seabus, Skytrain (Transit) Walking Vehicle Other:
Are you willing to undergo a Police Information Check: Yes No / Comment:
How did you learn of this opportunity? (Explain):
Musical Abilities / Do you wish to sing carols or play an instrument while hosting? Yes No
I can play: String Instrument Brass & Woodwind Drums/Percussion Piano/Keyboard Vocals
Specify instrument: / Describe skill level:
Describe musical background/experience:
References: List 2 people who aren’t family or close friends, but are familiar with your abilities to host a kettle
1 / Name: / Relationship:
Telephone: / Alternate: / Email:
2 / Name: / Relationship:
Telephone: / Alternate: / Email:

Declaration of Trust & Authorization for Collection of Personal Information

I hereby declare that the above information is true and complete to the best of my knowledge. I understand that a false statement may disqualify me from further consideration as an employee or result in dismissal. I authorize The Salvation Army to collect information appropriate to the position applied for concerning my academic background and employment/volunteering history, and to verify character references I have supplied. I understand that the information obtained will be confidential but may be shared with relevant Salvation Army personnel and other organizations in order to obtain an appropriate paid or non-paid position.

Applicant Signature:______Date: ______

Parental Consent: (below to be completed by parent/guardian of children under the age of 19 to volunteer)
I (Parent/Guardian)______understand that children between the ages of 14 and 18 wishing to volunteer with The Salvation Army Vancouver Community & Family Services must have a parent/guardian comply with and sign this agreement. I understand that my child will not be permitted to volunteer until this form has been completed and returned to the Kettle/Volunteer Coordinator(s).
Also, I hereby authorize the Governing Council of the Salvation Army in Canada and Bermuda Territory inclusive of all associated and related ministries (collectively referred to throughout the remainder of this document as “The Salvation Army”) to use photographs, video and audio footage for which my child is included. I therefore, give permission for all photographs, video, and audio footage to be used by The Salvation Army for any and all marketing, public relations and promotional purposes, which they may, in their sole and absolute discretion, deem appropriate. Check Yes or No
Parent/Guardian Signature:______Date: ______
CHRISTMAS KETTLE HOST APPLICATION - Page 2/3
2015 Christmas Kettle Campaign – British Columbia Division
Kettle Host / Bell Ringer Application (Continued)
Availability / Please check off the dates and times you would like to host a Christmas Kettle
Days: / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
Time / N/A / N/A / N/A / Nov. 12th / Nov. 13th / Nov. 14th
11:00AM - 3:00PM / N/A / N/A / N/A
3:00PM - 7:00PM / N/A / N/A / N/A
Other (Specify Times) / N/A / N/A / N/A
Time / Nov. 16th / Nov. 17th / Nov. 18th / Nov. 19th / Nov. 20th / Nov. 21st
11:00AM - 3:00PM
3:00PM - 7:00PM
Other (Specify Times)
Time / Nov. 23rd / Nov. 24th / Nov. 25th / Nov. 26th / Nov. 27th / Nov. 28th
11:00AM - 3:00PM
3:00PM - 7:00PM
Other (Specify Times)
Time / Nov. 30th / Dec. 1st / Dec. 2nd / Dec. 3rd / Dec. 4th / Dec. 5th
11:00AM - 3:00PM
3:00PM - 7:00PM
Other (Specify Times)
Time / Dec. 7th / Dec. 8th / Dec. 9th / Dec. 10th / Dec. 11th / Dec. 12th
11:00AM - 3:00PM
3:00PM - 7:00PM
Other (Specify Times)
Time / Dec. 14th / Dec. 15th / Dec. 16th / Dec. 17th / Dec. 18th / Dec. 19th
11:00AM - 3:00PM
3:00PM - 7:00PM
Other (Specify Times)
Time / Dec. 21st / Dec. 22nd / Dec. 23rd / Dec. 24th / N/A / N/A
11:00AM - 3:00PM / 7-1PM / N/A / N/A
3:00PM - 7:00PM / 9-1PM / N/A / N/A
Other (Specify Times) / N/A / N/A
Kettle Location(s)/ Request(s)
/ I prefer to host a kettle located in Zone #: 1 2 3 4
List the neighbourhoods you prefer to host a kettle within: ______
______
If known, list the kettle/retail location(s) you prefer to host a kettle:
______
______
I have no preference. Please post me where I am needed most:
Name: ______Date: ______
CHRISTMAS KETTLE HOST APPLICATION - Page 3/3