IMHO Canada Youth Volunteer Form 2011

Page 1

International
Medical
Health
Organization
(IMHO)
invite
you
to
be
our
 YOUTH
VOLUNTEER
 Full
Name:
___________________________________________________________________________
 Date
of
Birth:
__________________________________________________________________________
 Phone
Number:
________________________________________________________________________
 Email
address:
_________________________________________________________________________
 Occupation:

☐high
school
student

☐university
student

☐post‐graduate

☐other:____________________________

If
you
are
a
student,
which
school
do
you
currently
attend?
(include
your
expected
year
of
graduation
if
 applicable):
___________________________________________________________________________
 How
did
you
hear
about
our
volunteer
opportunities?
 _____________________________________________________________________________________
 Why
would
you
like
to
volunteer
with
IMHO/SAAAC?
 _____________________________________________________________________________________
 When
would
you
like
to
start
volunteering
with
us?

 _____________________________________________________________________________________
 What
are
your
availabilities?

 _____________________________________________________________________________________
 What
type
of
volunteer
work
interests
you?
(check
off
all
that
apply)
 
 South
Asian
Autism
Awareness
Centre
(SAAC)

 ☐Applied
Behaviour
Analysis
(ABA)

☐After
School
Program

☐Speech
Therapy

☐SAFE
(South
Asian
Family

☐SMARTS
(“Smart
Arts”:
Music,
Dance
&
Art
Therapy)

Empowerment
Project)

☐ASD
Information
Sessions


Canadian
Centre
of
Victims
of
Torture
(CCVT)
 ☐Homework
Club

☐Youth
Conversation
Circle

☐
One‐on‐One
ESL
Tutoring

☐Computer
Basics
&
Intermediate

☐
Teaching
Assistant
for
ESL
Classes
(with
TDSB
teacher)

☐English
Conversation
Practice

☐Befriending

☐Escorts
and
Interpreters
(Include

☐Yoga
Instructors

your
second
language:
_____________)

IMHO
Development
 ☐Fundraising
and
Event
Planning

☐Other
(include
what
experiences
you
wish
you
gain
through
our
program)
 ___________________________________________________________________________
 Please
note
that
many
of
our
available
positions
require
an
interview,
and
an
orientation/training
 session.
You
will
be
required
to
provide
a
resume,
references,
and
possibly
a
Criminal
Reference
 Check.
Volunteers
are
also
expected
to
make
a
minimum
commitment
of
3‐6
months.
Are
you
willing
 to
commit
to
these
obligations?
 ☐ Yes

☐ No

We
will
contact
you
shortly
to
review
your
application.
Thank
you
for
considering
a
volunteer
 opportunity
with
us!


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