Make a Difference as a Volunteer with Amherstburg Community Services

Name *

First and last

Address *

[Unit Number]-[Street Number] [Street Name], [City], [Postal Code]

Phone Number *

Email *

How Do You Prefer To Be Contacted? *

I am interested in the following positions: *

Select the skills you have: *

Select all that apply

*If "other" was selected, please specify:

Please indicate your availability: *

Example: Tuesdays and Fridays 9am-1pm

Please note your most recent volunteer experience: *

Provide any additional information that you would like us to consider:

Authorization for collection of personal information: *

By typing my full name, I acknowledge and agree that this electronic signature is legally binding and confirms that I authorize Amherstburg Community Services to collect and retain personal information appropriate to the position(s) applied for concerning background employment/ volunteering history I have supplied. I understand the information obtained will be kept confidential.

Declaration I herby declare that the above information is true and complete to the best of my knowledge. I understand that a false statement may disqualify me from further consideration as a volunteer or result in dismissal. (copy) *

By typing my full name, I acknowledge and agree that this electronic signature is legally binding and confirms that the information provided is true and complete to the best of my knowledge.

Meals on Wheels Delivery	Reassurance Calls
1 hr/week	1 hr/week
Luncheon/Program Support	Event/Fundraising Support
3 hrs every other week	Less than 1 hr/week
Coats for Kids Distribution	Income Tax Clinics
4 hrs during distribution week	7 hrs/week during tax season

Your Time Can Change Lives

Volunteer Opportunities With Average Time Commitment Per Week

Ready to Get Involved?

Other Ways You Can Support ACS