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Volunteer Application Form

We respect your right to privacy and have instituted practices that will help ensure that your personal information is handled responsibly. This information may be shared with other CKUA Departments for the purpose of volunteer placement, and will be used to contact you with regard to volunteer related activities only. At any time you may request to be removed from the Volunteer Database.
Click here to view CKUA's Privacy Policy.

For more information contact Maureen Workman:

Phone: 1-800-494-2582 or
Email: volunteer@ckua.com

Volunteer Contact Information
* indicates required information

* First Name:	* Last Name:

Daytime Phone:	Evening Phone:
Fax Number:	Cell Phone:

* Address:	* City:
* Postal Code:	Email Address:

Emergency Contact Name:	Emergency Contact Phone Number:

Special Needs: Occupation:

Skills and Interests (check all that apply)
Previous Special Events Experience Public Relations Plan/Organize Special Events Front of House Management Promotions Marketing Sales Merchandising Advertising Setting Up Displays Setting Up Exhibits Tracking Inventory Designing Pamphlets/Brochures Food Service Catering Soliciting Donations Performer Hospitality	People Skills Outgoing Altruistic Team Player Patient Adaptable Sense of Humour Enthusiastic Good Listening Skills Motivated Counseling Skills Cooperative Advocacy Skills Assertive	Research & Planning Skills Rational Thinker Logical Thinker Good Analytical Skills Assessment Skills Detail Oriented Research Experience Forecasting/Predicting Skills Identifying Problems Imagining Alternatives Identifying Resources Gathering Information Solving Problems Setting Goals Extracting Information Defining Needs
Administrative Skills Secretarial Data Entry Reception Faxing Photocopying Records Management Filing Scheduling Typing wpm	Basic Trade Skills Manual Labour Physically Fit Electronic Skills Electrician Skills Technical Skills Sound Technician/Production Photographer Stage Manager Driving Class of Licence Basic Handyperson Skills Please Describe:	Management & Leadership Skills Organizational Facilitative Managerial Consultative Multi-Tasking Leadership Skills Business Skills Initiating New Ideas Managing Groups Delegating Responsibility Decision Making Managing Conflict
Communication Skills Writing Verbal Telephone Advanced Reading Level Editing Proof Reading Facilitating Group Discussion Interviewing	Previous Board Experience Board Member Chair Vice Chair Treasurer Secretary Board/Agency Liaison Committee Please describe:	Financial Skills Bookkeeping Budgeting Fund Raising Basic Money Handling Basic Accounting Grant Proposals
Comments/To elaborate or add:
Computer Skills
MS Word MS Excel MS Powerpoint MS Outlook MS Access	Photoshop Fireworks Dreamweaver HTML Explorer Scanwise

Volunteer Opportunities Available (check off one or more boxes)
Fundraiser/Campaign (click here to read more about Campaign Opportunities)
Station Support (click here to read more about Station Support)
Community Chapter Support (click here to read more about Chapter Support) NOTE: By selecting Community Chapter Support you are giving permission to release this application to the appropriate Chapter President for assessment and referral.
Special Events (click here to read more about Special Event Opportunities)

Availability When are you available? (check all that apply) Days Evenings Weekends
Oath of Confidentiality As a CKUA volunteer: I am acting as an ambassador of CKUA and will conduct myself in a professional and business-like manner. I will treat all other volunteers, staff and the public with respect and will bring any problems to the volunteer coordinator for resolution. I will be expected to fulfil my volunteer shift commitments; if I am unable to do so, I will notify the volunteer coordinator as soon as possible. I will respect the confidentiality of donor, volunteer and CKUA information and will be required to sign an oath of confidentiality prior to beginning your volunteer assignment. I understand that I am not entering into an employment relationship with CKUA and you are not entitled to receive a salary. I will not receive a tax receipt for any volunteer services that you provide. CKUA's Volunteer Coordinator or the Volunteer may terminate the volunteer relationship at any time. By submitting this application I am agreeing to the above rules and this will serve as a confidentiality agreement between me and CKUA.