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Youth volunteer opportunities
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Youth Volunteer Summer Program 2014
This program is provided by Stony Plain FCSS, Volunteer Centre, and the Youth Centre. If you have any questions please
call us at 780-963-3846.
e pariliand county
TOWN Of STONY PLAIN
Family and Community Support Services
&
roUTH~ CENTRE~ ~
Youth Volunteer 2014 Registration Form
Your Info:
Name: ______ Age: __ Birthday: ____ _
Address: Postal Code: ------------- ---
Phone #: ____ _
Cell #: ____ _
Email: ----------
School: __________ Grade (Going into): __ _
Do you prefer: D Phone DE-mail
Emergency Contact Info:
Name: Relation: -------- -------
Address: ------------------Work phone #: ____ Home phone #: ____ _
Cell phone #: ___ _
Do you have any special medical conditions that may affect you as a volunteer, or any allergies? Dyes Dno
If yes, please specify (attach an additional sheet ifneeded):
The Important Stuff:
Where did you find out about the youth volunteer program?
o At school oAt Youth Center oNewspaper (Which one? ________ )
o Poster oFriend o Other (Please specify : _______________ )
Tell me about your previous volunteer experience/ relevant work experience:
Sum up your personality in two words: _____ and. ____ _
Please list your volunteer related courses/qualifications: (i.e. First Aid, Babysitting ... )
Which of the following areas are of interest to you? (Choose as many as you like!) oWork w/ children oLeaming new skills oMeeting people oWork w/ animal's o Sports oWorking outside oWork w/ senior's oOther: (Please specify, I'll see what I can do!)
When are you available for volunteering? Days (please circle): Time:
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Are there dates you know you won't be available for volunteering? (I.e. Going on vacation, day camps . .. )
Before your registration is complete, please see the attached Authorization for Release of /nfoIl11Jltion!
You're done! Please return your completed registration to
1. The Stony Plain Youth Centre 4902 51 Avenue
2. E-mail: [email protected] 3. Fax: 780-963-1951
Give us a call if you have any questions! 780-963-8583
Authorization for Release of Information
I, hereby authorize the release of my personal information to the supervising volunteer agency for the purpose of supervision of the Youth Volunteer Program (an initiative of Stony Plain Family and Community Support Services).
Youth Volunteers and the Parkland Area Volunteer Action Committee are also authorized to take or cause to be taken: still photographs, moving pictures, television and/or sound recordings of myself for educational and publicity purposes.
I hereby waive any and all claims against Stony Plain Family and Community Support Services and in any manner whatsoever relating to the said photographs, recordings and/or information.
I, __________ (parent/guardian) hereby authorize the release of
____________ " my child's personal information to the supervising volunteer agency for the purpose of supervision of the Youth Volunteer Program.
Youth Volunteers and Parkland Area Volunteer Action Committee are also authorized to take or cause to be taken: still photographs, moving pictures, television and/or sound recordings of myself for educational and publicity purposes.
I hereby waive any and all claims against Stony Plain Family and Community Support Services and the Parkland Area Volunteer Action Committee in any matter whatsoever relating to the said photographs, recordings and/or information.
Parent Signature Date
Youth Signature Date
·Personal information refers to only application form, parental/guardian consent and criminal record check (only if requested by supervising organization).
The information collected is under the authority of the Freedom of Information and Protection of Privacy Act. If you have any questions please contact the F.O.I.P. Coordinator at 780-963-2151
I, the parent/guardian give my child permission to be involved with the Youth Volunteer program for the summer of 2014
Parent Signature Date
Wlwrc'?
Play Daze- Town
Of Stony Plain
Stony Plain
Youth Centre
Stony Plain and Park
Land Pioneer Museum
Canada Day Celebrations
Town of Stony Plain
Westview Health Centre (Hospital)
Stony Plain Care Centre/ George Henning Place
Stony Plain Public Pool
Multicultural
Heritage Centre
Stony Plain Public
Library
Volunteer Opportunities "'hnt do I do? \' Oil 114'4'd ••••
Helping out with day camps,
field trips, games and crafts!
Help with concessions at community events. Assist with sorting and displaying
Thrift Store donations.
Age 12+
Age 12+
Painting, garden work, yard work, cataloging artifacts, Age 12+
cleaning historic buildings, helping elementary school groups
working on displays, assisting summer students, guiding events
Assisting with different activities for young children,
setting up and supervising the inflatable bouncy castles.
Spend some time chatting with patients and delivering
meal trays.
Assistance with indoor/outdoor activities, bus trips, dining room help, visit residents, going on walks with residents.
Assistance with lessons working with instructors to sing,
play games and help keep all children safe while learning
to swim.
Age 12+
Age 13+, interview and
police information check
Age 13+, interview, orientation
And police information check
Age 12+, Passed kids swim 8
or equivalent
This position is ideal for someone who has an interest in Age 12+
old objects and good organizational skills moving and organizing
objects in storage room, photographing and recording information of objects.
Help out with crafts, activities and the summer reading game Age 13+
at the library.
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