Volunteer's Information

Required fields are marked (*)

• Name (*)
  Please enter your name
• Date (*)
  Please enter today's date
• Address
  Invalid Input
• City
  Invalid Input
• Province
  Invalid Input
• Home Phone (*)
  Please enter your home phone number
  (Use this format: xxx-xxx-xxxx)
• Work Phone (*)
  Please enter your work phone number
  (Use this format: xxx-xxx-xxxx)
• Postal Code
  Invalid Input

• General Information

• Have you previously worked for the Lacombe Foundation?YesNo
  Invalid Input
• If YES, please indicate dates of employment from:
• to
  Invalid Input
• LocationLacombe Lodge - LacombeCameron Manor - LacombeParkview Manor - LacombeSpruce Terrace - LacombeCommunity Housing - LacombeLakeview Manor - AlixOxford Court - BentleyTower Manor - BlackfaldsEckville Manor - EckvilleGolden Villas - EckvilleLamerton Place - Mirror
  Invalid Input
• Manager
• Do you have any relatives working for the Lacombe Foundation?YesNo
  Invalid Input
• If YES, please indicate
  Invalid Input
• and Relationship
• Do you have reliable transportation to and from work?YesNo
  Invalid Input
• Basic First Aid
  Invalid Input
• Date
  Invalid Input
• WHMIS
  Invalid Input
• Date
  Invalid Input
• CPR
  Invalid Input
• Date
  Invalid Input
• Food Handlers
  Invalid Input
• Date
  Invalid Input
• Please indicate any skills, hobbies or certificates that you have:
  Invalid Input

• Please select the times you are available for volunteering

• MorningAfternoonEveningOvernight
  Invalid Input

• Please select the days you are available for volunteering

• MondayTuesdayWednesdayThursdayFridaySaturdaySunday
  Invalid Input
• Additional comments:
  Invalid Input

• Application Form Spam Prevention

• Refresh the CAPTCHA
  Please enter the correct CAPTCHA code

• I hereby certify that the facts set forth in the above volunteer application are true and complete to the best of my knowledge. I understand that if accepted to volunteer position, any falsified statements on this application shall be considered sufficient cause for release of volunteer position.

• Applicant's Signature (*)
  Please sign the employment application form
• Date (*)
  Please enter today's date

• Provincial legislation requires “that every new volunteer provide a criminal records check.” This is the responsibility of the applicant but note that the check must be current and therefore will not be required until the applicant has passed the Foundation screening process. The criminal record check results will be considered when offering volunteers a position.

•