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Northlands Volunteer Application Form
  1. (*) Indicates a required field.
  2. Last Name(*)
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  3. Middle Name
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  4. First Name(*)
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  5. Home Address(*)
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  6. City or Town(*)
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  7. Province(*)
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  8. Postal Code(*)
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  9. Home Phone Number(*)
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  10. Cell Phone Number
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  11. Home Fax Number
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  12. Email Address(*)
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  13. Gender(*)
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  14. Have you ever been employed by Northlands before?(*)
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  15. Have you volunteered at Northlands before?(*)
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  16. Are you a student?(*)
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  17. Are you retired?(*)
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  18. Are you employed?(*)
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  19. Where did you hear about us?(*)
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  20. If you are employed, please complete the employment section
  21. Employment or Business Information
  22. Current Employer
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  23. Please attach a current resume here, if available.
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  24. Your Occupation
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  25. Work Address
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  26. Work Email Address
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  27. City
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  28. Work Phone Number
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  29. Work Fax Number
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  30. Emergency Contacts
  31. Name of person to contact in an emergency(*)
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  32. Emergency Contact Cell Phone
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  33. Day Phone(*)
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  34. Cell Phone Number
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  35. Evening Phone(*)
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  36. Relationship to You
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  37. Two non family references whom we may contact
  38. First Reference Name(*)
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  39. Daytime Phone(*)
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  40. Evening Phone(*)
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  41. Second Reference Name(*)
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  42. Daytime Phone(*)
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  43. Evening Phone(*)
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  44. Northlands is committed to the protection of your privacy. Northlands collects and uses your personal information to provide you with information on relevant products, services, and special offers that may be of benefit to you. By providing contact information such as full name, postal address, phone number, or e-mail address, you consent to the collection, use, and disclosure of your personal information by Northlands for these purposes only, unless you indicate otherwise to us in writing. Details of Northlands’ privacy policy are available online at northlands.com, or in printed form by request.
  45. I agree(*)
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  46. I hereby allow Northlands to perform a check of my background, including:police records, driving record, past employment / volunteer history, educational / professional status, personal references, and other persons or sources as appropriate for the volunteer jobs available at Northlands.

    I understand that I do not have to agree to this background check, but that refusal to do so may exclude me from consideration for volunteer work. I understand that information collected during this background check will be limited to that appropriate to determining my suitability for volunteer work at Northlands and that all such information collected during the check will be kept confidential. I hereby also extend my permission to those individuals or organizations contacted for the purpose of this background check to give their full and honest evaluation of my suitability for volunteer work at Northlands and such other information as they deem appropriate.

    I, HEREBY RELEASE, DEFEND, INDEMNIFY AND HOLD HARMLESS Edmonton Northlands and the City of Edmonton, their officers, directors, employees, and any of their contractors, sponsors, contributors, affiliates, representatives and insurance underwriters (collectively, the “Releasees”), from all liability for any and all claims, loss, liability, damage and cost whatsoever, on account of injury to my person or property or resulting in death of myself, whether caused by the negligence of myself or the Releasees while my attendance or participation at Northlands for any event. It is understood and agreed that this release is binding upon myself, my heirs, executors and assigns.
  47. I agree to allow Northlands to do a background check(*)
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  48. I verify that the statements in this volunteer application form are true. I understand and agree that a false statement may disqualify me from volunteering. I agree to abide by Northlands policies and regulations and to keep all information learned in the course of my volunteering at Northlands confidential.
  49. I agree to the conditions stated above(*)
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  50. Please fill in the letters you see in the image
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