CFS Foundation Volunteer

Thank you for completing this form. All information gathered will be kept confidential and will be used only by the Child & Family Services of Western Manitoba Foundation Inc.

If you would like to print a copy and mail it in please download the pdf.

General Information

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Home Phone

Work Phone

Cell Phone

Email Address(Required)

Preferred Method of Contact

Emergency Contact Name

First Last

Relationship

Phone Number

What best describes you?

Languages Spoken

Training Skills and Experience

Tell us about your training, skills and experience.

Please describe some of your volunteer experiences.

Highest level of education:

Areas of Interest

Tell us about your areas of Interest

Other Opportunities

I would like to hear about other opportunities when they become available.

Availability

Day/s

Time/s

Community (e.g. Brandon, Neepawa)

References

Please provide two references that are not family members.

First Reference

Name 1

First Last

Phone Number 1

Relationship 1

Second Reference

Name 2

First Last

Phone Number 2

Relationship 2

I hereby authorize the Coordinator of Volunteer Services to contact the above references.

Signature

Date(Required)

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CFS Foundation Volunteering

General Information

Training Skills and Experience

Areas of Interest

Availability

References

First Reference

Second Reference

CFS Western Manitoba

Career Opportunities