Registration Forms

Volunteer - Youth - Mentee

Please fill out the form below to volunteer with TBMA and read through our diversity and inclusion policy.

Registration Form

Today's Date

YYYY

Client ID/UCI Number

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

If applicable, what was your LANDING date?

YYYY

If applicable, what was your ARRIVAL date?

YYYY

If applicable, what was your INITIAL DESTINATION?

What languages do you speak?

What was your country of origin?

What is your current occupation and your employer?

REGISTERING AS A

Volunteer

Mentor for Youth/Adult

Youth

Mentee as Adult

Match Preferences

1-on-1

Group

Family Match

No Preference

Highest Level of Education

What Was Your Field of Study?

Mode of Transportation?

Personal vehicle? Public transportation? None?

What is Your Availability?

How many hours per month? Days of the week? Time of Day (morning, afternoon, evenings)?

What are your interests or hobbies?

Examples are cooking, sports, music, photography, gaming, art, computers, networking, nature/outdoors, leadership, etc.

What are your expectations from the program?

Why are you registering? For example, to pursue interests, help with your career path, acquire new skills, language development, community engagement, mentorship, volunteering, explore cultures, etc.

Do you have any volunteer experience?

Where? When? For how long? What were your roles/duties?

Line

REFERENCES

Could be from previous volunteer positions, employers, educational experiences, churches and/or faith organizations, or friend. I authorize Thunder Bay Multicultural Association to contact the persons listed below for the purpose of obtaining reference information. A Vulnerable Police Sector Check is required as part of my screening.

1. Name and Relationship

Phone

(###)

###

####

Line

2. Name and Relationship

Phone

(###)

###

####

Line

AUTHORIZATION

Although all information will be kept confidential, it is necessary for some information to be shared with staff of TBMA and the program participants. Only pertinent information is disclosed to help ensure a good match. I understand that an exchange of information is necessary and authorize to share this information.

Diversity + Inclusion Policy