Full Address:
________________________________________________________________________________________
Phone number:
(H) __________________________ Other ________________________
Position(s) you are interested in:
_________________________________________________________________________________________
Skills you feel will be useful in these roles:
______
______________________________________________________________________________________
_________________________________________________________________________________________
Special Talents:
_________________________________________________________________________________________
Times you are available:
_________________________________________________________________________________________
Personal Limitations we should know about to help you in choosing an
area that is appropriate:
_________________________________________________________________________________________
Health conditions that may be pertinent (ie: allergies, back injuries):
_________________________________________________________________________________________
Related past experiences:
_________________________________________________________________________________________
_________________________________________________________________________________________
Please provide two character references:
Name and phone number:
_________________________________________________________________________________________
Other information you would like us to know about you.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
If you are interested in working with the elderly or children, you must
contact the RCMP office to obtain a criminal record check (at your own
cost). This is mandatory if you want to participate in the
Reading Bunnies program or the Pet Therapy program.
