Volunteer Application Volunteer Application Name (First & Last) * Phone Number * Email * Please check your age group. * 14-16 years of age 17-21 years of age 22+ What volunteer position are you applying for? * Child Support Volunteers Camp Great Strides Volunteers Together We ‘Hang’ – Peer Volunteers Fundraising Volunteers Please check all that apply 2. Tell me about yourself. What is about the volunteer position with FOOTPRINTS appeals to you? Are you in school (if so, what grade or program of study)? Do you work full-time or part-time? * 1. How did you learn about the volunteer position with FOOTPRINTS? * 3. FOOTPRINTS volunteers work one-to-one with a child diagnosed with Autism Spectrum Disorder (ASD). Tell me about your experiences working with children. Tell me about your experiences working specifically with children with ASD and/or special needs. * 4. FOOTPRINTS has two program in Durham Region: Pickering and Whitby. Which program are you interested in? Volunteers are required to commit to a minimum of one shift per month. 4A. FOOTPRINTS Pickering Saturdays 9am – 1pm Saturdays 1pm – 5pm 4B. FOOTPRINTS Whitby Saturdays 9am – 12pm 4C. FOOTPRINTS Teen Program - Together We "Hang" (program is subject to funding) Wednesdays 4-6:00 pm (Pickering Library) Mondays 4-6 pm (Whitby Library) Pickering Library, Main Branch, Auditorium - Whitby Library, Main Branch Meeting Room 1 5. Why do you want to volunteer with FOOTPRINTS? What are you hoping your volunteer experience will be like? * 6. FOOTPRINTS Volunteers are required to attend certain training workshops and to provide a Police Records Check with Vulnerable Sector Screening. Do you have any of the following? Don’t be concerned if you do not, we provide any training needed. 6A A current First Aid Training certificate * Yes No 6B Police Records Check with Vulnerable Sector screening less than 6 months old * Yes No 6C Behaviour Management Systems Training * Yes No 6D CPI Training * Yes No 7. Some of the children involved in the program display aggressive behaviours such as biting, scratching and tantrums. This is part of their autism. How comfortable do you feel you would be working one-to-one with a child with such behaviours? * 8. Why would it be a mistake to NOT accept you as a FOOTPRINTS volunteer? What would the program be missing if we did not have you as part of the team? * 9. Do you have any questions about the program? Do you understand the expectations of volunteering with FOOTPRINTS? Are there any concerns, limitations or restrictions that might prevent you from fulfilling a volunteer commitment with FOOTPRINTS? * 10. Please provide us with the names and email addresses of two people (not family members) that we can contact for a reference. * Please leave this blank If you are human, leave this field blank.