Autism Ontario London Volunteer Application Form 2019/2020
Thank you for your interest in becoming a volunteer with Autism Ontario London.  Please complete the volunteer application form and email it to autismontario.student@gmail.com   Should you have any questions about the application or about volunteer opportunities, contact Kelly Wilson, the Chapter Development Coordinator, at  519-433-3390 or london@autismontario.com .
First  Name *
Last Name *
Email *
Phone Number *
Mailing Address *
Emergency Contact Information (name and number): *
I identify my gender as: *
Enter the category that applies to your current status: *
Required
If you answered other in the question above, please explain:
Do you possess a valid First Aid Certificate and or CPR certified? *
Check the following experiences you have had,  that  would benefit Autism Ontario London:
If you entered other in the above question please elaborate:
Optional: Elaborate on your experiences and explain why you have chosen to volunteer for Autism Ontario London specifically.
Autism London has several events, activities and social learning opportunities for families and individuals with autism.  Volunteers are needed to ensure everyone is supported. These opportunities are facilitated in a group setting, unless otherwise stated.  Check the areas you are interested in. *
Required
Are you interested in becoming a respite care provider?  Several of our families are looking for reliable respite support workers.  This would involve working 1:1 with an individual with autism for a few hours a week on a regular basis, providing the primary caregiver a break.  It could be within the home, or taking the individual out to social learning opportunities in the community. The position is paid,  and requires a time commitment and screening process.  Autism Ontario London assists the VON Family Supports Agency with this program.  If you are interested in learning more about this opportunity more information will be sent to you.   *
What schooling, education, skills, training, certificates, awards, degrees,  programs, and/or qualifications do you possess that would benefit your volunteer experience with Autism Ontario London?
I agree to respect the confidentiality of all information to which I may have access at Autism Ontario London.  Violation of confidentiality provisions could result in immediate dismissal from the Autism Ontario London volunteer program. *
Required
As a condition of volunteering, I will provide an  original Vulnerable Sector Police Record Check dated within the last 6 months.  The original will be viewed, and a copy made and kept on file at Autism Ontario London. *
Required
The Autism Ontario London volunteer database is refreshed yearly in October.  I understand to remain on the volunteer list I must reapply yearly. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms