Volunteering with the Town

Confidentiality Declaration

The personal information provided on this form is collected in accordance with Section 17 of the Municipal Freedom of Information and Protection of Privacy Act for the purpose of processing the request. For any questions regarding this matter, please contact the Clerk’s Office at 600 Higginson Street, Hawkesbury, Ontario, K6A 1H1, email: infogreffe@hawkesbury.ca.

Applicant Informations

Last Name

First Name

Home phone number

Cellphone Number

Address ( #, street)

Town/City

Province

Postal Code

Provide your valid Driver’s Licence Number.

Insert a copy of a Level 2 Criminal Record Check. (Provided by the O.P.P Detachment near you)

Please indicate which types of volunteer activities interest you within the Town.

Kids Activities Special Events or Festivals Teanagers Activities Customer service or reception Security Other Activity Type

What skills or experiences would be considered an asset for the Town of Hawkesbury in a volunteer position?

The Town may require a list of references or other necessary documents.

I certify that the information provided in this document is, to the best of my knowledge, accurate.

Signature

Signature Date

Parent or Tutor Informations

Parent or Tutor First and Last Name

Relation with the applicant

Contact Phone Number

My Town

Residents Services

Recreation and Community

Discover Hawkesbury

Volunteering with the Town

Confidentiality Declaration

Applicant Informations

Parent or Tutor Informations