Volunteer Application Form for Circle of Care
The information collected on this application form is solely intended to determine applicant suitability for a volunteer position. Any information collected on this application form will remain strictly confidential and any personal information disclosed for the purpose of obtaining a reference will be treated as confidential and private.
Due to an increase in volunteer applications, we will be prioritizing local applications (from within the Greater Toronto Area) first.
In case of emergency, who should we contact?
Currently Accepting Volunteers
Currently On Hold - These programs are currently not accepting volunteers
You are requested to provide THREE references. Please ensure that these individuals are informed that they will be contacted. Please do not list any family members.
This is an application to volunteer with Circle of Care for which there is no monetary compensation. I understand that if I am accepted as a volunteer with Circle of Care, I am agreeing to:
CONFIDENTIALITY AGREEMENT: I acknowledge that in the course of my volunteer work with Circle of Care, confidential and privileged information maybe shared with me in writing, verbally, electronically or in any other medium. The information is given in confidence and trust. I agree that during the course of volunteering with Circle of Care, and after my departure, I will keep all such information strictly confidential and not disclose such information to anyone under any circumstances. I understand that a violation of these obligations may be a cause for termination of my services with Circle of Care without notice.
LIABILITY RELEASE: I acknowledge that Circle of Care cannot be held responsible for the loss, damage or theft of any belongings brought to any Circle of Care program. Circle of Care cannot be held responsible for any and all claims for damages arising as a result of any accident or injury or otherwise sustained by participants arising from Circle of Care activity or program. I also agree to sign the Volunteer Waiver & Release provided to me along with this application and to promptly return a signed copy to Circle of Care.
PERMISSION TO USE PHOTOGRAPH: I grant to Circle of Care, its representatives and employees the right to take photographs of me and my property in connection with my volunteer role. I authorize Circle of Care, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Circle of Care may use such photographs of me with or without my name and for any lawful purpose including for example such purposes as publicity, illustration, advertising and Web content.
VOLUNTEER DECLARATION: Circle of Care’s clients are considered a vulnerable group as defined by the RCMP guidelines. Therefore we are required under the Criminal Records Act - R.S.C., 1985, c. C-47 (Section 6.3), to ensure we screen all volunteers. As a volunteer, we request that you please complete this form prior to volunteering with us.
I understand that I may be asked to complete a Vulnerable Sector Check depending on my volunteer with Circle of Care. I declare that: I have no convictions under the Criminal Code of Canada, up to and including the date of this declaration, for which a pardon has not been issued or granted under the Criminal Records Act.
Please complete if you are interested in being a KMOW driver or a Medical Companion Driver
I agree to use my own vehicle to provide transportation for clients or delivery of meals for Circle of Care. My driver's licence is presently valid and not under suspension. In consideration of my agreement to provide transportation, I hereby release Circle of Care from any and all liability or responsibility for any damages or injuries suffered or caused by me during the provision of service.