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Yarmouth Life Skills
Volunteer Application

Please answer all questions as completely as possible.

Contact Information

Please Check One

Status

Note: Driving record will be considered when driving for the organization is a program requirement.

Has your licence ever been suspended in the past 10 years?
Have you ever been convicted of driving under the influence of drugs or alcohol in the past 10 years?
Is your driver’s licence currently suspended?

Availability

Volunteer Job Opportunities

Please select the area(s) in which you have an interest:

For Interims of Practicum Students

Please select the area(s) in which you have a interest:

Prior Education Experience

Special Skills or Qualifications

Person to Notify in Case of Emergency

References

I understand that….
⦁    This is an application process for a volunteer/ interim. Practicum position and not a contract of employment
⦁    The information given on this for is true and correct and may be verified by contacting the persons or organizations named on this application
⦁    I voluntarily offer my services with a clear understanding that there will be no monetary compensation or promise of future employment with Yarmouth Life Skills
⦁    I have read and will adhere to all volunteer, intern and practicum student policies and procedures
⦁    I will readily accept training and supervision from Yarmouth Life Skills staff
⦁    FOR VOLUNTEERS ONLY- I agree to have my home address and phone number posted on the volunteer list and made available to Yarmouth Life Skills staff and Volunteers.

Thank you for submitting our registration form.

We will get back to you as soon as possible.

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