Genesis Centre

To apply to be a volunteer at the Genesis Centre please fill out the form below. Note that you must be 14 years of age or older to qualify. Click the 'Send It!' button when you are done.

Personal Data

  Yes    No


Emergency Contact Information

Volunteer Information

  Outside    Inside    No Preference

What days and hours of the week are you available?

Tell us about your volunteer/guest service experience (list specific duties):

  Yes    No

  Yes    No

Educational/technical training (institution, program, completion date & degree/diploma):

  Yes    No

  Yes    No

  Yes    No

  Yes    No

  Yes    No

  Yes    No

  Yes    No

Most Recent Employment History

   Yes    No

Volunteer Declaration

 I hereby certify that the facts stated in this application for volunteering are true and complete to the best of my knowledge. I understand that if accepted to volunteer, falsified statements on this application are considered sufficient cause for dismissal.

Privacy Statement

Your privacy is important to us. All personal information collected online will be kept completely confidential for use by the Genesis Centre of Community Wellness for marketing and communication purposes only. No third parties will have access to this information for any reason.