Volunteer Application Form

First Name *
Last Name *
Date of Birth (dd/mm/year)
Address
Phone (Home)
Phone (Work)
E-mail *

In case of an emergency, whom should we notify?

Person Name

First Name *
Last Name *
Person Address
Phone Number
Relationship
Do you have a valid driver’s license?
Yes
No
Do you have access to a vehicle?
Yes
No
Have you ever been charged with a criminal offence?
Yes
No
Are you employed?
Yes
No
Company Name
Company Address
Postal Code
City
Company Phone
How did you find out about CCOF?
What is the reason for applying to CCOF? Have you or a loved one been touched by Cancer? When? *
0 (Min. 100 Characters)
Have you ever applied to be a volunteer with CCOF before?
Yes
No
If Yes, When?
What personal attributes do you have that would make a positive contribution to camp?
0 (Min. 100 Characters)
What do you expect to gain from your involvement at camp? *
0 (Min. 100 Characters)
What organizations have you belonged to or presently belong to, and in what capacity?
Please list any special skills you have which might be useful at our camp activities (i.e. Sports, crafts, music, certification such as lifeguard, CPR, First Aid, etc.)
Are you able to attend the camp for the entire duration?
Yes
No
Would you be prepared to spend part of your time helping campers who need individual assistance?
Yes
No
Would you be prepared to be a cabin leader?
Yes
No
Do you wish to assist in fund raising activities throughout the year?
Yes
No
T-shirt size
S
M
L
XL
XXL

References

Name 1:

First Name
Last Name
Phone Number of Person 1
Address of Person 1
Occupation of Person 1
Best time to be reached?
Time

Name 2:

First Name
Last Name
Phone Number of Person 2
Address of Person 2
Occupation of Person 2
Best time to be reached?
Time
Relationship with person 2

Name 3:

First Name
Last Name
Phone Number of Person 3
Address of Person 3
Occupation of Person 3
Best time to be reached?
Time
Relationship with person 3

Volunteer Medical Screening Form

Sask. Health Number
Do you have any medical conditions we need to be aware of?
Yes
No
Explain medical conditions
Do you have any allergies? If so, how severe is the reaction and what is the treatment?
Yes
No
Explain reactions and treatments
Do you have any physical limitations, previous back injury, or lifting restrictions?
Yes
No
Explain if Yes
Are you taking any medications?
Yes
No
Explain if Yes
Have you ever had chicken pox or the Varicella vaccine?
Yes
No
Explain if Yes
Have you travelled anywhere within the last 6 months outside of Canada or the US?
Yes
No
If yes please list
Are your childhood immunizations up to date?
Yes
No
Explain if No
Have you had any booster vaccines in the past 10 years?
Yes
No
Explain if yes
Are you fully vaccinated against Covid-19? This includes a bivalent booster shot. CCOF strongly recommends volunteers are fully vaccinated against Covid-19.
Yes
No
Explain if No
Are you trained in CPR/First Aid?
Yes
No
Are you a cancer survivor?
Yes
No
Submit