Volunteer Application

Please note: Due to funding constraints, we have had to alter our procedures for new prospective advocates. Before completing the application form below, please ensure that you have read the relevant sections about the Everyday Champions (click to read), Chance for Choice (click to read) and Group Homes (click to read) programs , and that you have thought carefully about whether you believe this opportunity is a good fit for you.

In order to be considered as a potential advocate, you must:

  • be at least 18 years of age;
  • have 2-3 hours a week to spend with the person you are matched to;
  • be certain that you will be in the Ottawa area for the next 15 months;
  • be prepared to keep your commitment to the individual you are matched to for a minimum of one year.

Before completing the form, you should have ready the full names and daytime telephone numbers of three people who have known you well as a person for at least two years, and who are not related to you or in an intimate relationship with you.

Once you have completed the application form, you can click the “submit” button at the end, or you can print a hard copy and send it by mail or fax to:

Citizen Advocacy of Ottawa
312 Parkdale Avenue Fax: (613)761-9525
Ottawa ON K1Y 4X5

 

All information provided to citizen Advocacy will be regarded as strictly confidential.

 

  1. Prefix
  3. (required)
  4. (required)
  6. (required)
  7. (required)
  8. (required)
  11. (valid email required)
  13. How do you prefer we contact you? Check as many as you wish
  14. Preferred Contact
  17. Status in Canada
  19. If you are in Canada on a Work Visa, Student Visa or Visitor, what date does your permit expire?
  21. Languages you speak fairly fluently
  22. Fluent In
  24. If other languages spoken, please specify here
  26. Preferred Language of communication from Citizen Advocacy (circle one)
  27. Preferred Language
  29. Are you certain you will remain in the Ottawa area for the next 15 months?
  30. 15 Months
  32. How did you find out about Citizen Advocacy/ Please be specific (e.g., name of website, name of friend or co-worker):
  33. (required)
  34. Please provide below a very brief resume of your educational and employment experience
  35. (required)
  38. You are interested in volunteering with (check all that interest you):
  39. Volunteer For
  41. What are your reasons for choosing Citizen Advocacy?
  42. (required)
  43. Why do you want to become a volunteer advocate?
  44. (required)
  45. What would you say are your strengths as a person? What do you like about yourself?
  46. (required)
  47. What do you see yourself as needing to improve on?
  48. (required)
  49. Can you tell us how wanting to become a volunteer advocate fits with your own personal long term goals?
  50. (required)
  51. How do you see yourself as being able to contribute in a relationship with someone living with a disability?
  53. What are you expecting will come out of a match relationship – for yourself, and for the person you’re matched to?
  55. Please give the names and daytime telephone contact numbers and / or email addresses of three people who have known you well as a person for at least two years, and who are not related to you or in intimate relationship with you.
  56. Person One
  57. (required)
  59. (valid email required)
  60. Person Two
  61. (required)
  63. (valid email required)
  64. Person Three
  65. (required)
  68. Please check the following
  69. I understand that becoming a volunteer Advocate is a long term commitment to a person who is vulnerable. I confirm that I am prepared to commit to spending time with a match partner on a regular basis for a minimum of a year from the time we are matched.
  71. (required)
  72. Name of applicant, or signature of applicant (if sending by fax or mail)
 

cforms contact form by delicious:days

 

Latest news

Archives