Centre d’action bénévole de Richmond

New Volunteer Registration

Identification

Last Name *

First Name *

Address (Street Number and Name) *

City *

Postal Code *

Primary Phone *

Other Phone (otherwise enter N/A)

Date of Birth *

CAB Involvement

Please note that within the community, you can get involved with the following groups:

Children; Adults; Seniors living at home; Seniors living in residential care; Support groups; People living with mental health challenges

CABR Registration Date *

The CAB Offers Training for Volunteers

Specific training may be provided depending on the service you will be volunteering for. The CAB also offers training sessions throughout the year for all volunteers, which you will be invited to attend.

Contacts

Contact 1

Full Name *

Relationship *

Telephone *

Contact 2

Full Name *

Relationship *

Telephone *

Health Status

Do you have any health issues that could limit your involvement as a volunteer ? *

Yes No

Additional Information

Languages Spoken *

French

English

Other(s)

Would you be open to volunteering for other organizations ? *

Yes No

If you are interested in transportation assistance or help with errands :

You own a car

You can use it for volunteering

You drive in winter

You drive long distances ( > 90 km )

You have a valid driver's license

If you are interested in transportation assistance or help with errands, please enter the expiration date of your driver's license :

REFERENCES

Please provide the contact information of individuals whom we may contact for references, other than members of your family.

Reference 1

Full Name *

Employer / Organization / Relationship

Telephone *

Reference 2

Full Name *

Employer / Organization / Relationship

Telephone *

Become a Volunteer

Identification

CAB Involvement

Please note that within the community, you can get involved with the following groups:

Which of the services offered by us are you interested in ? *

The CAB Offers Training for Volunteers

Skills *

Contacts

Contact 1

Contact 2

Health Status

Additional Information

Availability :

Additional Information :

REFERENCES

Reference 1

Reference 2

Volunteer Involvement