Personal Information

    Note that all fields with this symbol are required:

    Name



    Home



    Contact Information




    Status







    Emergency Contact



    Language Skills









    Availability

    Please Click the Checkboxes Corresponding to when you are Available. This section is required

    Day of the Week

    Morning

    Afternoon

    Evening

    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday

    Volunteer Interests

    Please Select which Volunteer Positions you are Interested In. Check the boxes in row containing positions you are interested in

    Department

    Position

    Choice

    Nikkei Home

    Reception Desk

    Nikkei Home

    One-on-One

    Nikkei Home

    Recreation Program Help

    Nikkei Home

    Special Events Help

    Nikkei Home

    Driver

    Outreach Project

    Community Program

    Outreach Project

    Dementia Friendly Community Program


    Experience







    Name

    Occupation

    Relationship

    Phone Number

    Email

    The criminal record search is limited to the specified offences listed in the Criminal Records Review Act for the purpose of working with vulnerable adults