OFFER OF SERVICES – VOLUNTEER PROGRAM NAME : DATE OF BIRTH : ADDRESS : POSTAL CODE : Telephone Residence : Telephone Work : Cellular : Emergency contact in case of emergency: Phone: Language(s) spoken or written: Are you fully vaccinated against the COVID-19 virus? *YesNoDo you have previous volunteering experience? *YesNoDo you feel comfortable around seniors? *YesNoAre you presently attending school? *YesNoPlease check off the programs that you would like to participate in : *Reading in French/françaisReading in EnglishPlaying cardsSinging-performanceVisits- 1 on 1Pastoral visitsDo you play musical instrumentsCraftsGardening – when possibleNail Polish – Hand careWalking partnerPainting/coloringReminiscing programAssisting with exercisesRosary in Chapel/Chapelet avec résidentsBaking with small groupAssisting with BingoGames: scrabble/cards/croquignole, etc.Decorating in Downtown areaResident feeding assistanceWould your commitment to volunteering be? *Short-term (3 months or more)Six months or moreLong-term (1 yeay or more)Please indicate what times would be most convenient to do your volunteering: *Sunday a.m.Sunday p.m.Monday a.m.Monday p.m.Tuesday a.m.Tuesday p.m.Wednesday a.m.Wednesday p.m.Thursday a.m.Thursday p.m.Friday a.m.Friday p.m.Saturday a.m.Saturday p.m.Please note: If you are 15 years old or younger, we require the consent from your parent or guardian. VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: