volunteer application form -...

28 Richmond Street, Saint John, NB Phone: 506-632-3 301 Email: pathways@trc4youth . ca

Pathways to Education Volunteer Application

The Pathways to Education Program® works to assist students during their high school careers, helping them successfully graduate and continue on to the post-secondary education, training, or employment of their choice. The program provides a system of four supports:

Academic: Tutoring in the five core subjects;

Social: Group mentoring activities twice a month

Financial: Immediate financial support such as bus tickets tied to attendance and a scholarship for post-secondary education for each year they successfully complete high school and the program;

Advocacy: Youth Advisors who help connect teens, parents, school administration, teachers and community agencies.

The Pathways program is working in two priority neighborhoods within the Saint John area: South End & Waterloo Village. The Program’s focus is on ensuring that young people from these communities achieve their full potential by getting to school, staying in school, graduating and moving on to post-secondary programs. All programming is delivered at the host agency; Teen Resource Centre, which is located at 28 Richmond Street. TRC provides a safe and encouraging environment for our youth to explore their full potential.

Thank you for choosing to join the Pathways to Education Team. Please take some time to complete this application package thoroughly. The application form should be accompanied by a current resume. You will also be asked to provide a recent Social Development and Police Check. All forms in the package can be dropped off in person at the TRC or emailed/scanned to [email protected] . We require the original copy of your Police Check after you have picked it up from your nearest police station. The Social Development Check is simply filled out by the individual and then dropped off with your application package. Pathways to Education will be responsible to forward the form to Social Development. We look forward to working with you.

mailto:[email protected]



Thank you for choosing to join the Pathways to Education Team. Please take some time to complete this application package thoroughly. The application form should be accompanied by a current resume. You will also be asked to provide a recent Police Check (Vulnerable Sector). We look forward to working with you!

PERSONAL INFORMATION

Last Name First Name

Address

City Postal Code

Home Phone Business Phone Cell Phone

E-mail

What is the best way to contact you?

EMERGENCY CONTACT

Name Relationship

Home Phone Business Phone Cell Phone

Please indicate how you heard about this volunteer opportunity:



VOLUNTEER EXPERIENCE

Have you volunteered before? Yes No

If yes, please identify:

Organization(s): Time Period:

Type of Volunteer Experience:

BACKGROUND INFORMATION

Please indicate any experience you have working with adolescents or diverse populations

Please identify your interests in providing services to our youth, as there are many different aspects of helping within the program (Tutoring youth in our site classroom, mentoring events, fundraising to promote our program or helping prepare food for various events and sessions. Please indicate your interest below



Pathways to Education follows the high school calendar in terms of commitment per semester. They are as follows: September- January and or February-June. Please specify if you are able to volunteer for one of the semesters or both.

Do you speak any other languages besides English?

SKILLS AND/OR INTERESTS

Please describe any talents, hobbies, interests, skills (second languages, certifications, etc.), which may be relevant.

Do you have current CPR/First Aid certification?

Do you have current Safe Food Handling certification?

WORK/EDUCATIONAL EXPERIENCE

Are you currently employed? No Yes: Full-Time Part-Time

If Yes, Where: Role:

Previous work experience:



Are you currently in school? Yes No Full-Time Part-Time

School/College/University: Grade Level/Degree:

Degree/Area of Specialization:

AVAILABILITY

Are you interested in providing academic support to high school students as a volunteer Tutor, providing social supports through twice a month activities as a volunteer Mentor, or both?

Tutor Mentor Both

Would you be available to participate in special events in the year (i.e. fundraising, volunteer recruitment, etc.)? Yes No

We would like to accommodate your schedule as best we can. Please put a “√” in the box beside the time(s) and day(s) that you would like to volunteer:

Tutoring

Monday Tuesday Wednesday Thursday 3:45-5:00 p.m. 3:45 – 5:00 p.m. 3:45 – 5:00 p.m. 3:45-5:00 p.m.

Mentoring

Twice a month- time & locations vary

PHOTO/VIDEO RELEASE

I give the Pathways to Education Program® permission to use images of me captured through video, photo or digital camera to be used for education and/or promotional purposes while I am volunteering with the program.

Yes No

RESUME

Please attach a copy of your resume to this application.



REFERENCES (Employer, Family Member, or Teacher- Must have known you for 2 or more years)

Name Relationship Daytime Phone Number

Name Relationship Daytime Phone Number

Please read the following before signing: I understand that there may not be a suitable volunteer role available at this time and that my information

will be kept on file for future opportunities

I authorize TRC/Pathways to Education to contact the references I have provided and record information from this application into a volunteer management database, this information will be kept confidential and used only by persons collecting information for the purpose of Pathways to Education.

I agree to provide a Police Record Check.

I certify that all information included in this application is true and complete, and I agree to perform all assigned and accepted responsibilities to the best of my ability in keeping with the values, goals and guidelines of TRC/Pathways to Education.

Signature Date

Parent/Guardian Signature (if under 18 years of age) Date

FOR OFFICE USE ONLY

Reference Checks Completed: SD Form:

Interview Date: Confidentiality:

Orientation Date: Commitment:

Criminal Record/Vulnerable Sector: Start Date:


x

Teen Resource Centre28 Richmond Street, Saint John, NB E2L 3B2 (506) 638-2372

Teen Resource Centre28 Richmond StreetSaint John, NB E2L [email protected]

Pathways to Education Volunteer Statement of Commitment

In order to foster a productive and beneficial relationship between our volunteers and the Pathways to

Education program, we have prepared the following guidelines for each party. Please read the following

commitments. All parties will sign the statement at the beginning of your volunteer position.

Pathways to Education will:

• Provide a positive and encouraging environment for the volunteer to work in

• Meet with the volunteer regularly to answer questions, discuss problems, and accept feedback.

• Provide ongoing training in various areas relating to youth development, education and needs.

• Produce a letter of reference for the volunteer on completion of your term

• Contact any volunteer who misses three consecutive scheduled service times to discuss the reason and

offer solution or support

The Volunteer will:

• Attend training sessions when available

• Sign in for scheduled shifts and keep track of time spent in the program

• Come to the program at the times prearranged with program staff

• Notify staff when they are required to be absent from the program

• Dress appropriately for the conditions and performance of their duties

• Maintain confidentiality of all proprietary or privileged information they are exposed to while serving as a

volunteer whether this information involves staff, students or the program in general

• Assist in other Pathways activities if possible when requested

I have read carefully this Commitment Statement and agree to these terms.

_____________________________________ ____________________________

Volunteer Date

_____________________________________ ____________________________

Pathways to Education Date

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