March 2014 Leaderboard
Volunteer Application
Please note that, due to the nature of our programs, regular volunteers must be 18 years of age or older to be placed with the current exception of Super U March Break Camp which allows 17 year olds to volunteer with parental consent.

Filling out the fields/boxes with asterisks(*) is mandatory. A confirmation email will be sent upon receipt of your application.

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* First Name
* Last Name
* Address
Apt #
* City
Postal Code
* Phone
Cell Phone
* Email
Work Phone
Work Extension
May we contact you at work? yes no
If yes, what is the best time?
* Emergency Contact
* Emergency Contact Phone

* Highest Grade Level Completed
* Computer Skills
* Special Skills
* Hobbies and Interests
* Languages Spoken
* Languages Read
* Languages Written

Work Experience
* Employer 1
* Position 1
* Dates (FROM/TO) 1
Employer 2
Position 2
Dates (FROM/TO) 2
Employer 3
Position 3
Dates (FROM/TO) 3

Volunteer Experience
Agency 1
Responsibilites 1
Dates (FROM/TO) 1
Agency 2
Responsibilites 2
Dates (FROM/TO) 2

Please give at least two references regarding your employment and/or volunteer experience. No relatives or personal friends, please.
* Reference 1 Name
* Reference 1 Phone
* Reference 1 Relationship
* Reference 2 Name
* Reference 2 Telephone
* Reference 2 Relationship
Reference 3 Name
Reference 3 Telephone
Reference 3 Relationship

Please select all timeslots within each day for which you are available. Ensure that “Not available” is selected for days on which you do not wish to volunteer. Timeslots are just general categories; actual start and end times may be dependant upon established program times or may be negotiable further on in the placement process.
* Monday Not available
Morning 9-12
Afternoon 1-6
* Tuesday Not available
Morning 9-12
Afternoon 1-6
* Wednesday Not available
Morning 9-12
Afternoon 1-6
* Thursday Not available
Morning 9-12
Afternoon 1-6
* Friday Not available
Morning 9-12
Afternoon 1-6
* Weekends and/or evenings Not available
Only available on weekends
Only available evenings
* I would like to volunteer (choose one) Weekly
Every other week
* I would also be willing to be on the general "on call" volunteer list for special events or seasonal opportunities? Yes please
No thank you
* Roughly how long are you willing to commit to volunteering? 6 Months
1 Year
Longer than a year
I don't know
Comments about availability

How did you hear about the MSH Volunteer Program? Mission Services website
Volunteer Hamilton website
Inform Hamilton
* Have you ever applied to volunteer with us before? yes no
* Have you ever received service from Mission Services? yes no
* What is your reason for wanting to volunteer? Select as many as apply. Spare time
Work related
School requirement
Explore career opportunities
Develop skills
Community involvement
Personal satisfaction
Desire to help others

Please list any limitations such as allergies or other health concerns that MSH should be aware of in order for you to complete your volunteer work.

Volunteer Opportunities
* Please check the boxes for the volunteer opportunities that interest you.
Please note that not all opportunities will be available at all times, and that selecting an area does not guarantee you to be placed in it.
Community Services Opportunity Centre (196 Wentworth Street North)
Community Services volunteers required during hours of service: Monday, Wednesday and Friday mornings (9:00 - 11:00am) and Wednesday afternoon (1:00 – 3:00pm) to either intake the clients and interview them (some computer experience required), or assist in the distribution of food, clothing, and basic household items. Applicants should be fluent in writing, speaking, and reading English. Knowledge of another language is helpful. Applicants should be friendly and have good customer service skills. With food distribution, volunteers must be able to lift food boxes (up to 40 pounds.) A weekly commitment would be required.
Suntrac Wellness & Addiction Treatment Centre (196 Wentworth Street North)
Front Desk Volunteer (phone, light office work, greeting clients) required for evenings from 4:30/5:00 to 8:15pm (start time can be a bit flexible.) WORD and EXCEL knowledge is an asset. Ideal opportunity for an Addictions or Social Work student. Generally involves a light work load so volunteer can spend some time on reading or school assignments while on shift. Volunteer shifts may be available on a Monday, Tuesday, Wednesday or Thursday evening. A weekly commitment would be required.
Men’s Services – Jamesville 2 Kitchen (309 James Street North)
The kitchen requires a volunteer to assist with meal preparation, serving, and clean-up, as well as possible donation sorting, general organizing, and other duties to aid in the operation of the kitchen. A shift would be scheduled on a weekday morning or afternoon and would be from 2 ½ to 4 hours in length, often over a meal time. Position requires physical ability to stand to perform tasks and serve clients. A weekly commitment is required.
Super U March Break Camp – March 10 to 14, 2014 (196 Wentworth Street North)
Volunteers aged 17 years of age or older who are patient, enthusiastic and energetic are required the week of March Break to engage youth in games and other activities. They will assist with group management on site and on field trips (city bus) and as well assist with swim-related duties. Other tasks include preparing and serving snacks and lunch. Ideally the person would be able to volunteer for the full week of camp, however this is flexible. Volunteer intake process applies and a police check will be required at Mission Services’ expense. Past experience with children and youth is an asset. A training date and time to take place prior to March 10th will be determined.
Tell us a bit about yourself (significant events in your life, values, etc.)

Volunteer Agreement
Mission Services acknowledges the valuable contributions of volunteers to its programs. We are grateful for the dedication of individuals and groups willing to offer time and effort to help us help others. In fulfilling our mission to respond to the needs of vulnerable people in our community, it is necessary that Mission Services follow specific screening procedures to ensure the safety and protection of our clients, volunteers and staff. Therefore, volunteers are asked to read and sign the following statement as part of the volunteer process.

In applying for volunteer work at Mission Services of Hamilton, I understand that false, incomplete or misleading information on the application shall be considered sufficient cause for not recruiting me as a volunteer or for dismissal if so required. I acknowledge that I meet the minimum age requirement of 16 years and understand that some programs within Mission Services may require an older age to volunteer at that particular program. I authorize Mission Services to contact the references that I have indicated on the application. After completing the volunteer process (application, interview, reference checks, volunteer placement), I agree to a Vulnerable Sector Screening conducted through the Hamilton Police Services (currently the cost of this is $25.00) or if not a resident of the Hamilton area, through the police services in the municipality of my residence.

I understand that Mission Services may review any of their databases regarding any contact I may have had with the agency.

I understand that the information disclosed about me may, but does not necessarily, disqualify me from becoming a volunteer with Mission Services of Hamilton. At any point during the application or screening process, Mission Services reserves the right to decide on the suitability of an applicant for a volunteer position within the agency.
Signature of Agreement
Date Signed: YYYY/MM/DD
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Mission Services, Box 368, Hamilton, ON, L8L 7W2