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Apply now for a volunteer position

Thank you for your interest in volunteering with the Brain Injury Association of Waterloo-Wellington!

All volunteers are required to complete the following:

Volunteer Application - apply online by filling out the form below, or download the Volunteer Application form in PDF or Word and email it to our Program & Volunteer Coordinator.
Interview - our Program & Volunteer Coordinator will contact you to arrange an interview in person or by telephone.
References Form - download in PDF or Word and email it to our Program & Volunteer Coordinator.
Police Record Check - All volunteers will need to submit a Vulnerable sector police check.
Oath of Confidentiality - download in PDF or Word and email it to our Program & Volunteer Coordinator.

If you have any questions please contact our Program & Volunteer Coordinator.

Volunteer Application

* Indicates required field

Application Date *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Are you a survivor/family member/caregiver of an acquired brain injury? *

YES NO

If so please explain: *

Age *

Under 18 Age 19-30 Age 31-50 Age 51-65 Age 66+

Do you have special needs which we should be aware of? *

YES NO

When are you available to volunteer? For example Tuesday Afternoon *

How many hours would you like to volunteer? Please state the hours per week/month/year. *

Date when you will be available to start: *

What will your time commitment be? *

2+ years 1 year 6 months Special Events on a as needs basis

Volunteer Position(s) that Interest You. *

Board of Directors Support Groups (meeting facilitators, distributing flyers) Lidz on Kidz Program (school and community programs, fit helmets) Information Booth (community events) Special Events/Fundraisers Unmasking Program Art Program Facebook support (contributing and tracking posts) Outreach (researching other demographics: seniors, newcomers, low income) Other

Volunteer/Community Involvement. Please list your volunteer experiences (if applicable) and give a brief description of your duties. *

Work History: List your recent work experiences (if applicable) and give a brief description of your duties. *

Education/Training/Certifications: List your most recent education/training or certifications *

Please specify what skills you have that will assist you in the volunteer position that you are interested in: *

Do you have any formal qualifications that are related to the volunteer work that you wish to do? If so, please specify: *

What do you hope to gain from your volunteer experience with BIAWW? *

References: (References are necessary, your profile will not be considered without them). Please list 3 references (no relatives) i.e. employer, teacher, clergy, etc.

Reference 1 *

First

Last

Relationship to you. *

Best time to call *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Reference 2 *

First

Last

Relationship to you *

Best time to call *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Reference 3 *

First

Last

Relationship to you *

Best time to call *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Apply Now

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