Volunteer Application Form Note: All fields are mandatory fields First Name**Last Name**Street Address **Address Line 2City**Province**Province*OntarioPostal Code**Country**Home Phone**Business PhoneCell PhoneEmail** Volunteers under the age of 18 require written permission from a parent/guardian to volunteer. The appropriate Parental Consent Form can be downloaded here or picked up from the ESS main administrative office (2245 Lawrence Ave. West).Are you at least 18 years of age?*YesNoA Vulnerable Sector Police Records Search is required for many of our volunteer positions. Have you ever been convicted of a criminal offence for which you have not been pardoned?Have you ever been convicted of a criminal offence for which you have not been pardoned?*YesNoHow did you hear about ESS Support Services? Check all that apply. Volunteer Toronto Charity Village Indeed Etobicoke Guardian Family/Friends Social Media School Other textareaWhy would you like to volunteer for ESS Support Services?UntitledWhich volunteer positions interest you? (click on each position for a brief description) * Dropdown* Adult Day Services Volunteer Telephone Reassurance Volunteer Seniors’ Lunch Program Volunteer Please share when you are available to volunteer (any specific days and / or times?):UntitledWhat Length of Time are you Able to Commit to Volunteering ?* 6 months Up to 1 year More than 1 year Do you have personal and / or professional experience working with seniors, especially those who are frail and / or living with a memory impairment? If yes, please provide details about this experience. UntitledPlease provide the names of two individuals who can be contacted for a reference check. One may be a family member or friend, and the other must be a professional contact. Please include their name, relationship and phone number.UntitledUntitledAuthorization for collection of personal informationcheckbox5 I declare that the information given in my application is correct and I give my consent for my details to be processed for the purpose of volunteer recruitment. I authorize ESS Support Services to complete a reference check with the individuals listed above. IMPORTANT: To protect the health and safety of our clients and their families, staff and volunteers, and in the interest to follow strong public health measures, it is a requirement to be fully vaccinated against COVID-19 if you are a volunteer in any of our in-person programs. ESS Support Services will consider cases needing accommodation as stipulated by the Ontario Human Rights Code. Thank you for your interest in ESS Support Services! Δ