Volunteer Application Form

Welcome! We are so excited that you are interested in volunteering at the Gateway of Hope. This application will help us gather valuable information so that we can try to connect you to the right volunteer position. Please fill out this application with as much detail as possible and submit. It can take up to two weeks for a reply. Thanks for your patience.

Step 1 of 3

SECTION A: GENERAL INFORMATION
Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City Province Postal Code
Home Phone*
Cell Phone*
Email Address*
Emergency Contact Name*
First Last
Emergency Contact Phone*
Relationship of Emergency Contact*
Example: Mother, Father, Brother, Sister, Uncle
Describe briefly your employment, professional experience, skills or hobbies.*
What/or who directed you to Gateway of Hope?*
Why are you interested in volunteering with Gateway of Hope?*
If you are fulfilling any of the following please check the coordinating box.*
- Court Ordered Service Hours
- Practicum Hours
- Work Experience Hours
- School Volunteer Hours
- None of the above
SECTION B: VOLUNTEER AVAILIBLITY & POSITIONS
What days will you be available to volunteer? Please state time slots available as well as day. (Please note that the facility is open 24 hours per day, 7 days a week)*
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Please specify your available hours (Morning, Afternoon, Evening, Midnight/Early AM).
What length of commitment are you able to make?*
- 1-3 months
- 3-6 months
- 6-12 months
- Special event/project
- Service hours (hours needed)
What area or tasks are you interested in volunteering for here at The Gateway of Hope?*
NOTE: All Volunteer positions will be discussed and agreed upon with the Volunteer Coordinator. Once this application is returned and the Volunteer Coordinator has received your Criminal Record Check you will be contacted to meet and discuss the volunteer opportunities available.

SECTION C: PERSONAL INFORMATION
Are you currently taking any medication prescribed by a doctor that we should be aware of? If yes, please explain.*
Do you have any medical conditions that might be affect you while you are volunteering that we need to be aware of? If yes, please explain.*
Can you list a few of your strengths and weaknesses?*
SECTION D: COMMUNITY INVOLVMENT
Are you a member of a community service group?*
- Yes
- No
If yes, what group?
Do you regularly attend a local church?*
- Yes
- No
If yes, what church?*
SECTION E: REFERENCE
List one adult you’ve known for at least one year, who is not related to you and has a definite knowledge of your character and ability. (Such as a friend, neighbor, and small group leader, pastor, professor, etc.) We may contact this person by telephone.
Name*
First Last
Occupation*
Nature of association*
Length of time known*
Home Phone*
Work Phone*

SECTION F: WAIVER/RELEASES
I, the undersigned, give my authorization to The Salvation Army Gateway of Hope representatives – hereafter referred to as Gateway of Hope – to verify the information on this form. Gateway of Hope may contact my references and appropriate government agencies as deemed necessary in order to verify my suitability for involvement within the Gateway of Hope ministry.

I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.

I agree to be bound by the policies of Gateway of Hope, and to refrain from conduct unbecoming to The Salvation Army in the performance of my services on behalf of Gateway of Hope. If I violate these guidelines, I understand that my volunteer status may be terminated. By signing this form, I state that all of the information given to the best of my knowledge is true.

I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF, AND I SIGN THIS RELEASE AS MY OWN ACT. This is a legally binding agreement which I have read and understand.
Name*
First Last
Date*
Date Format: MM slash DD slash YYYY
SECTION H: DRIVERS ABSTRACT FORM
If you are interested in volunteering for a volunteer position that involves driving a Salvation Army vehicle we will require a Drivers Abstract. This can be obtained by visiting your local ICBC Drivers Services or by calling 1-800-950-1498.
SECTION I: CRIMINAL RECORD CHECK
All Criminal Record Checks for The Salvation Army Gateway of Hope will be processed by the British Columbia Ministry of Justice. It is the potential volunteer duty to fill out the online form at the below link and use The Salvation Army Gateway of Hope’s ACCESS CODE. When you are cleared, a clearance letter will be sent to the ACCESS CODE’s coordinating contact with The Salvation Army Gateway of Hope. This clearance can be used more than once with other organizations access codes inputted.

Please type this URL in your browser: https://justice.gov.bc.ca/eCRC/

ACCESS CODE: JERRKQME5M

If for whatever reason you cannot complete the online CRC form, please fill out the manual form and return to Coordinator.

Mon to Fri:	7:30am - 4pm
Weekends:	Closed

Volunteer Application Form

Step 1 of 3

SECTION A: GENERAL INFORMATION

SECTION B: VOLUNTEER AVAILIBLITY & POSITIONS

SECTION C: PERSONAL INFORMATION

SECTION D: COMMUNITY INVOLVMENT

SECTION E: REFERENCE

SECTION F: WAIVER/RELEASES

SECTION H: DRIVERS ABSTRACT FORM

SECTION I: CRIMINAL RECORD CHECK