If under the age of 19, please complete the following:

Language Skills

Are you fluent in English (5 is VERY Fluent)

Are you fluent in Japanese (5 is VERY Fluent)


Day Morning Afternoon Evening
Monday   Morning   Afternoon   Evening
Tuesday   Morning   Afternoon   Evening
Wednesday   Morning   Afternoon   Evening
Thursday   Morning   Afternoon   Evening
Friday   Morning   Afternoon   Evening
Saturday   Morning   Afternoon   Evening
Sunday   Morning   Afternoon   Evening

Length of volunteer commitment:

Volunteering Interests (Tell us about yourself!)

In terms of volunteering, we have many areas of volunteerism. Please check off as many as you like (Required).

Team Work: Our programs have a teamwork orientation. It is important that you like to work in a team, and sharing and collaborating with the participants and volunteers.

As a team member, we value what you want out of your volunteering experiences.

Please provide two (2) references (Required):


Do you have knowledge/experience/skill with seniors or seniors issues?

PLEASE NOTE: The Criminal Records Review Act requires that employees and volunteers working with vulnerable adults in public or publicly funded organizations clear a criminal record check. Applicant volunteers are required to submit a Criminal Record Check Consent form to the Provincial Criminal Records Review Program for a free criminal record check.

Person to contact in case of emergency:

I declare that I have answered all questions in this application fully and truthfully. I give permission to Nikkei Place to disclose my personal information for internal purpose only.

Thank you for your interest in volunteering at Nikkei Place! Please SUBMIT this completed form by clicking on the submit button below.

If the page errors out there is probably some missing data or some missing answers. If the form submits properly, you will be presented with a new blank form.

Thank you for your interest in volunteering at NikkeiPlace. We will contact you once your submission has been reviewed.