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Survey/Form Review

Volunteer Application Form
Contact Information

NOTE: * indicates mandatory field.
First Name *
Last Name *
Address:*
City *
Postal code:
Date of birth:*
Email:*
Phone number (Home):
Phone number (Cell): *
Emergency Contact
Name:*
Phone:*
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NOTE: Please read the volunteer category descriptions below, then choose the category (or categories) you would like to volunteer for.*

Recreation Programs for Preschool, Children and Youth: All of our facilities host programs for Preschool, Children and Youth age groups. Volunteers assist staff and provide support to participants in activities that include arts and crafts, sports, dance and special events.

Adults & Senior Recreation Programs: Kyle Centre and the Recreation Complex have programs for adults and seniors. Volunteers assist in various social activities, educational programs and special events.

Aquatics: Swimming lessons and other aquatic programs are available during the summer months only at Rocky Point Pool and Westhill Pool. Qualified volunteers assist staff during swimming lessons and may provide one to one support to participants who need extra help. Other activities include special events and birthday parties.

Ice Sports and Skating: Skating lessons and other arena programs are available at the Recreation Complex Arenas. Qualified volunteers assist staff during skating lessons and may provide one to one support to participants who need extra help. Other activities may include special events and birthday parties.

City Wide Special Events: Sign up to assist at one of the special events and celebrations throughout the year. One of the largest is the annual Car Free Day. Volunteers assist with the set-up and take-down of exhibits, assist with entertainment, food and clean-up.

Recreation Ambassador: Port Moody’s Recreation Ambassador will be our facilities first impression. In this role they will interact directly with patrons; welcoming, offering knowledge and advice on all aged programs, guiding tours throughout the building, and acting as a point of reference for any questions regarding Port Moody’s recreational services.
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I would like to volunteer for the following: (you may select more than one)
*
Work/Volunteer Experience
Company/Organization
Duties & Responsibilities
Supervisor
Email
Phone
References
Please state two people who know you and know about any previous volunteer or paid work experience (ie: supervisor, teacher, counsellor, family friend)
Reference #1 - Name
Relationship
Address
Phone
Length of Time Known
Reference #2 - Name
Relationship
Address
Phone
Length of Time Known
Additional Information

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