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Shelter

Favorite

Manoir Ronald McDonald Montreal

16+ years old

Outremont

contact@keentohelp.com

Nankind

Volunteers must meet the following requirements:

A minimum of 100 hours of childcare experience
Commitment of six months
Be sixteen years of age or older
Live within Canada

Fun In A Box Application: https://app.betterimpact.com/Application?OrganizationGuid=11929ef4-b867-4708-bc17-c2b3a5a04a64&ApplicationFormNumber=2

Homework Club Application: https://app.betterimpact.com/Application?OrganizationGuid=11929ef4-b867-4708-bc17-c2b3a5a04a64&ApplicationFormNumber=3

Were you able to sign up to volunteer? *

Open Source Gallery

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Kindred Spirits Orchestra

Were you able to sign up to volunteer? *

Inner City Outreach

Were you able to sign up to volunteer? *

JAIA Youth

Were you able to sign up to volunteer? *

Little Essentials

Were you able to sign up to volunteer? *

Norwegian Christian Home and Health Center

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Questions / Comments

Autism in Mind

Were you able to sign up to volunteer? *

Certified Listeners Society

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Canadian Association for Girls in Science

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Help Heal Humanity

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Which volunteer position are you interested in? *

Grant Writer
Content Writer
Social Media Assistant
Marketing Director
Human Resources Director
Director of Yoga for Humanity
Director of Travel for Humanity
Director of Sports for Humanity
Director of Shop for Humanity
Director of Sports for Humanity
Director of Education for Humanity
Director of Dining for Humanity
Director of Business for Humanity
Director of Art for Humanity

Any questions? (optional)

Sara d’Anjou

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Children Now

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Centre of Dreams and Hopes

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

La Gang à Rambrou

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Phone number *

Why do you wish to become a volunteer? *

Why have you chosen La Gang à Rambrou? *

Do you have a particular talent that you would like to use? *

What are your availabilities? *

Mornings
Afternoons
Evenings
1-2 times per week
2+ times per week

Any questions? (optional)

Youth Dream Canada

Were you able to sign up to volunteer? *

Burnaby Neighbourhood House

Were you able to sign up to volunteer? *

Afrique au Féminin

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America Needs You

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Ausome Ottawa

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Backpacks For The Street

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Calgary Blues Music Festival

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Caldwell Family Centre

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Calgary Corporate Challenge

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Better Environmentally Sound Transportation

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BC Lupus Society

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Behind the Book

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BC Hospitality Foundation

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BC Cancer Foundation

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Carlington Community Health Centre

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Calgary Drop-in Centre

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Camp Quality Canada

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Calgary Zoo

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Canadian Cancer Society – Toronto

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Canadian Cancer Society – Montreal

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Canadian Heritage Volunteer Centre

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Carlington Community Chaplaincy

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Centre de services à la famille

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City Harvest

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Collingwood Neighbourhood House

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Connected Canadians

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Crisis Intervention and Suicide Prevention Centre of BC

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Crossroads Community Services

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Daily Bread Food Bank

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Distress Centre Calgary

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Dress for Success Ottawa

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FABSCRAP

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Food Bank of York Region

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Friendship Circle

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GallopNYC

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Global Medic

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Harbourfront Centre

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Health and Home Care Society of BC

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Hood Code

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Hope For The Warriors

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Hour Children

Name *

First

Last

Email Address *

Volunteer Application Form *

Click or drag a file to this area to upload.

Any questions? (optional)

In the Lead – Calgary Youth Justice Society

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Invisible Hands Deliver

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JASA

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Jewish Family Services

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Jewish Family Services Calgary

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Junior Achievement of Southern Alberta

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Kindred Connections Society

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Learning Buddies Network

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Les Grands Feux du Casino Lac-Leamy

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Lougheed House

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Luv Michael

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MADA Community Center

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Melanoma Research Foundation

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Moisson Montréal

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Mom2Mom

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More Gardens! Fund

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Mount Pleasant BIA

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Museum of Food and Drink

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My Friends Place NY

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NatureKids BC

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North Shore Women’s Centre

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NY Common Pantry

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Ontario Clean Air Alliance

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Peace Advocacy Network

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Plastic-Free YYC

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Portail de l’Immigrant Association

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Pride Calgary Planning Committee

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Rescuing Leftover Cuisine

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Results Canada

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Robin des Bois

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Rural eMentoring BC

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Santropol Roulant

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Silent Voice Canada

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Suit Up

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SUPPORT + FEED

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The Campaign Against Hunger

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The Great India Festival

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The Mississauga Food Bank

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The Petey Greene Program

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The Women’s Centre of Calgary

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The Writer’s Exchange

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Toronto Botanical Garden

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Theatre Under the Stars

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Vancouver Food Runners

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Vancouver Fringe Festival

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Women CyberSecurity Society

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Wildcoast Ecological Society

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Afrique au Féminin

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Refood

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Kids Up Front Foundation (Calgary)

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Mailing address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone number *

Indicate your preferred volunteer opportunity *

General volunteer
Suite Ambassador volunteer

Any questions? (optional)

My Furniture Bank

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Vancouver Asian Film Festival

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Why are you interested in volunteering at the Vancouver Asian Film Festival? *

Resume/CV *

Click or drag a file to this area to upload.

Any questions? (optional)

South Vancouver Family Place

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

West End - Coal Harbour Community Policing Centre

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Available date(s)/time(s) for an interview at the office @ 1295 Davie Street (optional)

Any questions? (optional)

Friperie Cartier Émilie

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

FACE - Families of Alberta for Conductive Education

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

The Salvation Army Community Services (Calgary)

Thank you for your interest in joining our Behind the Shield community with The Salvation Army
Community Services (Calgary). The process for becoming a volunteer with Community Services (Calgary) is:

Attend a Volunteer Information & Orientation Session.
At the end of the session you can complete an application. This will enable you to volunteer at Special Events when help is needed. Volunteer requests for these events are sent out via e-mail.
If you wish to volunteer with a particular program or become a Regular Volunteer, you may respond to any volunteer posting. These postings will be emailed to you or can be found on our website.
To respond to a posting contact the person listed on the posting to arrange a meeting. At the meeting the program staff will discuss the position and how to proceed.
Once a placement is agreed upon the supervisor will inform the Volunteer Coordinator who will contact you to review necessary paperwork, policies and procedures. All volunteers are required to complete the Learn to Protect Abuse Prevention Training. Depending on the position, screening processes may include:
- Reference Checks – we do ask for three references
- Police Check with a Vulnerable Sector Search
- Intervention Record Check (if you will be in contact with minors)
- The Salvation Army – Abuse Registry Clearance

Please email Volunteer Services (or submit the form below) for more information on how to become a volunteer.

Name *

First

Last

Confirm your email *

Are you interested in a Volunteer Information & Orientatio Session? *

Any questions? (optional)

Urban Native Youth Association

For new volunteers, submit completed applications along with a resume/CV and cover letter to be forwarded to mentorship@unya.bc.ca

📁 Mentorship Volunteer Application Form

Name *

First

Last

Email Address *

Volunteer Application Form *

Click or drag a file to this area to upload.

Resume/CV *

Click or drag a file to this area to upload.

Cover Letter *

Click or drag a file to this area to upload.

Any questions? (optional)

Portobello West

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Intercare

For new volunteers, submit completed applications below to send to the volunteer coordinator at Intercare who will be in touch with next steps.

📁 Volunteer Application

Name *

First

Last

Email Address *

Volunteer Application Form *

Click or drag a file to this area to upload.

Oak Counselling Services

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Volunteer opportunity(ies) you are intersted in:

Counselling & Supervision
Student Placements
Board of Directors
Other Opportunities

Any questions? (optional)

Parkinson Society British Columbia

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

CITYarts Inc.

FORED BC Society

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Cover Letter *

Click or drag a file to this area to upload.

A brief cover letter stating why you want and would be a great fit for this position.

Resume/CV *

Click or drag a file to this area to upload.

Social Media Portfolio *

Click or drag a file to this area to upload.

Showcasing social media feeds, and/or a portfolio of written materials. If you've worked with Hootsuite, Facebook Pixel and Google Search Console/Analytics, that's a bonus!

Any questions? (optional)

Bgc Ottawa

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Associated Blind Foundation

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Lookout Housing and Health Society

For new volunteers, submit completed applications and reference forms by uploading the form below or sending them by email to volunteer@lookoutsociety.ca

📁 Volunteer Signup Form

Name *

First

Last

Email Address *

Volunteer Signup Form *

Click or drag a file to this area to upload.

Any questions? (optional)

Do What U Luv Foundation

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

Latincouver

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

Any questions? (optional)

George Derby Centre

George Derby Centre requires that a Criminal Record Check, general application form, an immunization declaration, and two references are completed as a condition of acceptance into the volunteer program.

📁 Volunteer Application Form

📁 Volunteer_Criminal_Record_Check

Upload below when completed and submit the form to get in touch with the George Derby Centre. For more information about volunteer opportunities, please contact Mallory Yeager, Manager of Therapeutic Programs and Volunteer Services, at myeager@georgederby.ca or 604.527.4459.

Name *

First

Last

Email Address *

Volunteer Application Form

Click or drag a file to this area to upload.

Volunteer Criminal Record Check

Click or drag a file to this area to upload.

Immunization Declaration

Click or drag a file to this area to upload.

Upload a document that states your COVID-19 vaccination status

References

1st Reference *

First

Last

Phone number *

Email *

Relationship *

2nd Reference *

First

Last

Email *

Phone number *

Relationship *

Radio Lollipop

For new volunteers, complete the application form and upload it below to send to vc.newyork@radiolollipop.org

📁NYP Volunteer Services Application

Name *

First

Last

Email Address *

NYP Volunteer Services Application *

Click or drag a file to this area to upload.

Any questions? (optional)

Bike to Work Day Calgary

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

Email Address *

Subject *

Message *

Columbus Residence

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

Email Address *

Subject *

Message *

Pride Calgary Planning Committee

We are looking for volunteers who are either part of the 2SLGBTQ+ or BIPOC community, who are allies to this community, and who are dedicated to supporting the 2SLGBTQ+ community. Whether you are new to volunteering, or a seasoned volunteer veteran, all are welcome!

Follow this link to our volunteer application: https://form.zonefestival.com/?k=cpf_v1lp

If you are under 18, and would like to volunteer, please follow this link: https://youthcentral.com/programs/youth-volunteer/

We are partnering with Youth Central to help give youth volunteers that additional support and guidance they need to build volunteer skills and knowledge through their experience with Calgary Pride.

Braata Productions

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

Email Address *

Subject *

Message *

Bruce House

Download and upload your completed volunteer application below to send it to linda@brucehouse.ca

📁Volunteer Application

Name *

First

Last

Confirm your email *

Volunteer Application Form *

Click or drag a file to this area to upload.

Any questions? (optional)

BC Lymphedema Association

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Confirm your email *

In what ways would you like to volunteer?

Fundraising
Support group leadership and education
Advocacy
Media, marketing, communications
Editing
Special Events and conferences

Any questions? (optional)

ASK Friendship Society

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

Email Address *

Subject *

Message *

Hour Children

For new volunteers, submit completed applications and reference forms to Hour Children by uploading the volunteer application form below:

📁Volunteer Application Form

Name *

First

Last

Email Address *

Volunteer Application Form *

Click or drag a file to this area to upload.

Any questions? (optional)

Project HAPPY

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

Email *

Subject *

Message *

The Real World Ministries

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Your Name *

Email *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Any questions?

Sue Rock Originals Everyone

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Your Name *

Your Email *

In what way are you interested in volunteering? *

Knitters/Crocheters
MakeUp Artists / Hair Stylists
Donation / Drive support
Technical / Media Support

Any questions? (optional)

Groove With Me

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Name *

First

Last

Email Address *

📁Teacher registration form Download

Upload completed teacher registration form here *

Click or drag a file to this area to upload.

Any questions? (optional)

Positive Women United

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Birthday *//

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone number *

Company

Department/Position

College/School

Department/Field

Which of the volunteer opportunities interest you?

Use Ctrl+click to select multiple opportunities

In which areas would you like to volunteer?

Use Ctrl+click to select multiple areas

Which days are you available?

Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays

From

I agree to membership terms & conditions *

Date *//

Signature *

CITYarts Inc.

If interested, please download and complete the form below and send it to Sydney Wolfe at projects@cityarts.org or upload it below.

Students/Community individuals, please use this form.

Confirm your email *

Upload your completed form *

Click or drag a file to this area to upload.

Any questions? (optional)

American Red Cross - Greater New York Region

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Why are you interested in volunteering with the Red Cross Youth Network? *

Any questions? (optional)

Resilience Montreal

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Shift availabilites

Monday 7:45 am to 12 pm
Monday 11:45 am to 4 pm
Tuesday 7:45 am to 12 pm
Tuesday 11:45 am to 4 pm
Wednesday 7:45 am to 12 pm
Wednesday 11:45 am to 4 pm
Thursday 7:45 am to 12 pm
Thursday 11:45 am to 4 pm
Friday 7:45 am to 12 pm

Any questions? (optional)

Bread and Beyond

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

In what way are you interested in volunteering?

Organizing a food drive
Making sandwiches
Creating art for sandwich bags
Joining our monthly 'Clean your Closet' campaign
Collecting items for Essential Boxes
Other

If other, please specify:

Any questions? (optional)

Burlington Green

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Your Name *

Your Email *

Your Message *

Visiting Neighbors

For new volunteers, submit completed applications and reference forms to Howie Square by uploading the following forms below or sending an email to info@visitingneighbors.org

📁 Volunteer Application

📁 Volunteer Application (special events / short term projects)

📁 Reference Form

As an interview is required, you can expedite the process by completing your application, obtaining two completed letters of reference, and calling Howie Square at (212) 260-6200 to tell him you have all of your paperwork prepared.

If you have any questions, feel free to give us a call!

Email Address *

Volunteer Application Form (general or special events / short term projects) *

Click or drag a file to this area to upload.

Reference Form *

Click or drag a file to this area to upload.

Edison Youth Center

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

What are your availabilities? *

What skills are you willing to offer our scholars? *

Any questions? (optional) *

Entraide Bénénvole Métro

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Any questions? (optional)

Parrainage Civique Montréal

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Phone number *

Are you 18+ years old? *

You must be 18+ to volunteer at PCM

Your Availabilities for a Meeting *

Monday 9h-12h
Monday 13h-17h
Monday 17h-19h
Tuesday 9h-12h
Tuesday 13h-17h
Tuesday 17h-19h
Wednesday 9h-12h
Wednesday 13h-17h
Wednesday 17h-19h
Thursday 9h-12h
Thursday 13h-17h
Thursday 17h-19h
Friday 9h-12h
Friday 13h-17h
Friday 17h-19h

Check the box that corresponds to your availability for a first meeting with a member of Parrainage Civique Montréal.

How did you hear about PCM? *

Blue Door

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Volunteer areas of interest (optional)

In-kind Donations
Food Services
Garden maintenance
Fundraising
Marketing
Barber/Hair Stylist
Specialty volunteers
Construction/General Contractor Estimator
Board Member

Available time for an interview (optional)

Date

Time

Any questions? (optional)

Frontier College

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Phone *

Any questions? (optional)

Minibiblioplus

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

What inspired you to volunteer with us? *

Do you have experience volunteering or working with children? If so, please describe.

Availability for an interview with Volunteer Coordinator (15 mins)

Date

Time

Availability for training session with Volunteer Coordinator (40 mins)

Date

Time

Available days and times for volunteering (in general)

Monday AM
Monday PM
Monday Evening
Tuesday AM
Tuesday PM
Tuesday Evening
Wednesday AM
Wednesday PM
Wednesday Evening
Thursday AM
Thursday PM
Thursday Evening
Friday AM
Friday PM
Friday Evening
Saturday AM
Saturday PM
Saturday Evening
Sunday AM
Sunday PM
Sunday Evening

Yellow Door

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of Birth *//

Languages Spoken *

English
French
Other

Other language(s) *

Emergency Contact *

Be sure to include email and/or phone number.

Current School/Work *

Field of Study *

Strengths/Hobbies/Interests/Skills *

Please list any health issues/allergies that may have an impact on volunteering *

Reason for Volunteering with YD *

Interested in programs
Course Requirements
Other

If other please specify: *

Availability *

Monday AM
Monday PM
Monday Evening
Tuesday AM
Tuesday PM
Tuesday Evening
Wednesday AM
Wednesday PM
Wednesday Evening
Thursday AM
Thursday PM
Thursday Evening
Friday AM
Friday PM
Friday Evening
Saturday AM
Saturday PM
Saturday Evening
Sunday AM
Sunday PM
Sunday Evening

I am available to commit to at least a 4-month service starting on *

I am only available during the following months *

Please select the role you are most interested in: *

Generations Program
Wellness Groups
Phone Call Volunteer
Illustrator
Outreach / Communications
Translator

Details about our current opportunities are available on our website: https://www.yellowdoor.org/volunteer-needs.html

How did you hear about the Yellow Door? *

Keen to Help Website
Word of Mouth
Volunteer Fair
Volunteer Bureau
Facebook
Instagram
Other

If other specify here: *

Parrainage Civique Montréal

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Phone number *

Are you 18+ years old? *

You must be 18+ to volunteer at PCM

Your Availabilities for a Meeting *

Monday 9h-12h
Monday 13h-17h
Monday 17h-19h
Tuesday 9h-12h
Tuesday 13h-17h
Tuesday 17h-19h
Wednesday 9h-12h
Wednesday 13h-17h
Wednesday 17h-19h
Thursday 9h-12h
Thursday 13h-17h
Thursday 17h-19h
Friday 9h-12h
Friday 13h-17h
Friday 17h-19h

Check the box that corresponds to your availability for a first meeting with a member of Parrainage Civique Montréal.

How did you hear about PCM? *

Maison de l'Amitié

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Any questions? (optional)

The ILC Charitable Foundation

Submit the form that will be forwarded to a volunteer coordinator will reach out to your email with next steps.

Confirm your email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Cell Phone

Work Phone

Home Phone

What is your preferred method of contact? *

Email, home phone, etc.

What is your current employment/student status? *

Do you work? Are you in school? Full time? Part time?

If applicable, please name your college/university (if High School please include current grade):

If applicable, please name your employer:

How did you learn about The ILC Foundation? *

What inspired you to consider volunteering for The ILC Foundation?

What special skills or interests do you have that would be a benefit to The ILC Foundation (i.e. computer skills, bilingual, artistic, etc.)

Have you ever been convicted of a crime for which a pardon has not been granted: *

Do you speak a second language?

Are you willing to make a one-year minimum commitment?

Are you a member of any other professional organizations/support groups?

If yes, please list:

How many hours per week would you be willing to commit to your volunteer position:

Volunteer Interests: *

Special Event Planning & Coordinating
Recruiting and Leading Volunteer Groups
Community Awareness
Communications & Media
Fundraising and Donor Outreach
Special Event Attendance
Administration and Volunteer Meeting Coordination
Financial Administration for Events

Please select top 3 areas that interest you

First Reference Name (and Job Title if available): Please provide a reference, personal or professional that we may contact (excluding relatives) *

First Reference's Phone Number *

First Reference's Email: *

First Reference's City/Town and Province: *

Second Reference Name (and Job Title if available): Please provide a reference, personal or professional that we may contact (excluding relatives) *