Volunteer Application Form

Thank you for your interest in volunteering! Please complete the form below and an Adsum team member will contact you.

Questions? Please call 902.423.5049 or email adsum@adsumforwomen.org.

Contact Information
Name *
Name
Cell Phone *
Cell Phone
Home Phone
Home Phone
Address *
Address
Do you have a recent Criminal Record Check?
Do you have a recent Child Abuse Registry Check letter?
Volunteer Information
Please list any relevant volunteer, work, or life experience that you have.
Language(s) Spoken *
What are you interested in doing at Adsum?
Availability *
Volunteers typically work a 2 hour shift per week between the hours of 9:00 am and 8:00 pm.
I am over the age of 15.
Emergency Contact
Emergency Contact Name
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Phone
References
Please do not include relatives.
Reference 1
Reference 1
Reference 1 Phone
Reference 1 Phone
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