Volutneer Kamloops

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Volunteer Request Form

* Denotes required field

* Request Date

* Agency

* Agency Description

* Contact Person

* Phone Number

Alternate Phone

* Fax

* Email

* Number of Volunteers

* Position Title

* Position Description

Other Information

May we advertise your Request

	Yes
	No

* Volunteer Location

* Gender

* Minimum Age of Volunteer

Vehicle Required

	Yes
	No

Licence Class

Back Ground Check Required

	Yes
	No

* Volunteers

	Virtual
	In Person

* Wheel Chair Accessible

	Yes
	No

Location Accessible by Public Transportation

	Yes
	No

Specifics on volunteers

* Training Provided

	Yes
	No

If Yes Please give detail

Orientation Session

	Yes
	No

If yes please give details

Reimbursements

	Yes
	No

Benefits

Available to volunteers with

	Physical Disabilities
	Mental Disabilities
	Emotional Disabilities

* Please provide times Volunteers are needed

What type of commitment are you looking for

	Short term
	3 months
	6 months
	1 year

* Minimum Age of Volunteers

2328

Print Date: 10/7/2008 2:01:59 AM