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Application for volunteer

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First Name*

Last Name*

Are You Agency's Client?

Yes

No

Date of Birth*

DD slash MM slash YYYY

Gender

Address

City

Province

Postal Code

Email*

Contact Phone*

Do You Have A Valid Driver's License

Yes

No

Your Canadian Status*

When Did You Land in Canada?

DD slash MM slash YYYY

Are You Authorized to Work?

Yes

No

When Does the Visa End?

DD slash MM slash YYYY

Are You Currently Employed?*

Yes

No

Employer Name

Your Designation

Are You Currently Studying?*

Yes

No

Institute Name

Course Name

Are You Volunteering As Part Of Following? (check all that apply)

School Practicum

To Gain Work Experience

Interest in Helping People

How frequently would you like to volunteer: (check all that apply)

Weekly

Biweekly

Monthly

On Request

How much time are you able to commit to volunteering?

What kind of volunteering programs interest you?

Please provide details of someone we can contact in case of an emergency

Emergency Contact Name*

Relationship*

Contact Phone*

Please provide two local references (ideally one personal and one professional)

Reference Name*

Contact's Email

Contact's Phone*

Reference Name*

Contact's Email

Contact's Phone*

I agree to*

undergo a Criminal Record Check along with a Child Abuse Registry Check and submit the certificate(s), once a volunteer position is offered; and provide a minimum three month commitment once a volunteer position is offered.

I certify that*

the information submitted in this form is correct and complete.

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Contact Us

Red Road Lodge

631 Main St. (at Logan Ave.)
Winnipeg, MB, R3B 1E1

Phone:

Fax:

(204) 306-5561

Email:

contact@redroadlodge.ca

Office Hours

Studio Drop-In HoursStudio 631 is open to the public on Tuesday and Friday from 12:00 pm – 4:00 pm or by appointment at (204) 294-8670 - ext. 2

Gifts and donations are accepted daily
Clothing donations are not being accepted until further notice
Call us for assistance to unload
Please use the rear entrance for your convenience

Monday to Friday: 9:00 am – 5:00 pmOur front desk is staffed from 9:00 am to 12:00 am and all public areas are supervised 24/7 by CCTV.

Programs

Home
About
Lodging
Arts & Culture
Community
- Morberg House
- The Edge Gallery & Urban Art Centre
Life Skills & Employment
Support Services
- 12 Step Fellowship Programs and Information
Get Involved

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Home
About
Lodging
Arts & Culture
Community
- Morberg House
- The Edge Gallery & Urban Art Centre
Life Skills & Employment
Support Services
- 12 Step Fellowship Programs and Information
Get Involved