Volunteer/Coach Application Form "*" indicates required fields I am a:* New Volunteer Applicant Returning Volunteer Personal InformationName of Applicant* First Last Date of Birth* Month Day Year Name of Parent/Legal Guardian (if applicant is under 18) First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email* Phone*Do you have a valid Drivers License?* Yes No Emergency Contact InformationName* First Last Relationship* Phone*Program InformationIdentify which program you are interested in volunteering for: (not all programs have vacancy)* Para-Cycling Adult FItness Para-Fit Curling Aqua-Abilities PEI Ice Breakers Sledge Hockey Program Wheelchair Basketball Wheelchair Rugby Boccia Please list your previous volunteer experience.*Please list any related skills, training, certifications, etc*Copies of certifications/qualifications listed upload Drop files here or Select files Max. file size: 256 MB. Documents RequiredResume upload* Drop files here or Select files Max. file size: 256 MB. Two Reference Contacts*Full NameEmployer/ Organization NamePositionPhone NumberEmail Address Add RemoveVulnerable Sector/ Criminal Record CheckAs part of the screening process, you are required to provide a Criminal Record or Vulnerable Sector Check. Do you have a valid Criminal Record/ Vulnerable Sector Check within 6 months?* No Yes I have already sent a copy to ParaSport PEI A copy of Vulnerable Sector Check* Drop files here or Select files Max. file size: 256 MB. Contact us if you need a Reference Letter Please have your Vulnerable Sector Check completed within 7 days and: Email: info@parasportpei.ca Phone: 902-368-4540 Fax: 902-368-4548 Waiver and ConsentPhoto Release Consent*ParaSport and Recreation PEI may take photographs or videos of participant to publish on ParaSport and Recreation PEI’s website, newsletters, newspapers, or social media. By ACCEPTING these terms and conditions in its entirety, you give permission for you/your child to be included in these photographs/videos and agree that you have read and understand the policy. I authorize ParaSport and Recreation PEI to take and use any photos and/or videos taken of me/my child during their programs or events. Yes, I allow my picture to be taken No, I do not allow my picture to be taken Terms and Conditions* I have read and agree to terms listed in the Waiver for participants over 18 years old Terms and Conditions* I have read and agree to terms listed in the Waiver for participants under 18 years old Applicant's Signature (Over 18)*Parent or Guardian Signature (U18)*Date Signed* Month Day Year Newsletter Subscription Subscribe to ParaSport Newsletter By clicking this box, I agree to receive emails about programs and events from ParaSport and Recreation PEI. Subscribe to ParaSport's member exclusive news By clicking this box, I agree to receive emails about programs and events exclusive to registered members from ParaSport and Recreation PEI. Δ
