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Personal Information:

First Name:

Chinese Name:

Last Name:

Date of Birth

Address: *

Gender: *

Male

Female

Other

Postal Code:

Phone Number

Email Address:

Background Information(For internal statistical purposes only):

Occupation:

Status in Canada *

Education: *

Skills & Experiences:

Skills:

Computer

Typing

Graphic Design

Photography

Volunteer Experience:

Reference & Emergency Contact:

Reference Name

Emergency Contact Name

Relationship

Relationship:

Phone

Phone:

Parents/Guardian Signature (if applicant is under 16 years of age):

Parents/Guardian Signature

Date

Applicant’s Signature:

I hereby declare that the information on this application is true and complete. I realize that my personal information is governed by the Privacy Act and will only be used where authorized by COFN. In making this application, I give permission to COFN to contact my references to ascertain my suitability as a volunteer.

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VOLUNTEER APPLICATION FORM：

COFN Volunteer Code: