Volunteer Sign Up Form - Baobab Black Seniors Care

Volunteer Application

Volunteer Application Form

Thank you for your interest in supporting Baobab Black Seniors in BC Canada. Volunteers are the heart of our community, and your time, energy, and skills make a real difference. Please complete this form so we can match you with opportunities that suit your interests and availability.

Contact Information

First Name

Middle Name

Last Name

Preferred Name (if different)

Date of Birth

Phone Number

Mailing Address

Emergency Contact

Kindly provide some details below of any emergency contact.

First Name

Last Name

Relationship with volunteer

Phone

Volunteer Interests

Please check all that apply:

Companionship (visiting or calling seniors)

Event support (set-up, clean-up, hospitality)

Transportation (driving to appointments, activities, events)

Administrative support (office tasks, phone calls, data entry)

Meal preparation or food delivery

Teaching or leading workshops (please specify topic)

Technology assistance (help with phones, computers, etc.)

Other (please describe)

Skills and Experience

Please describe any relevant skills, training, or work/volunteer experience

Languages spoken (if any, besides English):

Availability

Additional Information

Do you have a valid driver’s license?

Yes

Do you have access to a vehicle?

Yes

Are you comfortable with a background check if required?

Yes

Do you have any accessibility needs we should know about to support your volunteering?

References

Please provide the name and contact information of one reference (not a family member):

Full Name

Phone/Email

Relationship to you

Consent and Signature

I understand that submitting this form does not guarantee a volunteer placement. I consent to Baobab Black Seniors collecting and using the information provided for the purpose of volunteer coordination.

Initials (to show consent)

Date