Required fields are marked with asterisks (*)

Adult & Senior Volunteer Application

This form is for adult and senior's looking to volunteer with our programs. Adults over the age of 18 require a police check with vulnerable sector screening that is current within the last 6 months prior to starting your volunteering.

Volunteer's Name

Address

City or Town

Province

Postal Code

Phone Number (Main)

Phone Number (Other)

E-mail Address

Emergency Contact's Name

Emergency Contact's Phone Number (Main)

Have you previously been employed by the City of Belleville

Yes

Please select your areas of interest

Preschool, Children and Youth Program Assistant

Fitness Department

Aquatics Department

Youth Room attendant

Gymnasium Programs

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