Volunteer Application

Due to our awareness of child safety issues,  and our commitment to protecting youth, we are required to ask you information
about your personal life.  An affirmative answer to these questions may not necessarily exclude your participation in the Program

Do you have any history of sexual involvement with a minor under the age of 18 while you were over the age of 18?
Do you now have any sexual inclination toward children under the age of 18?
Have you had any negative police contact, including being investigated by the police, charged etc?

If you plan to use your vehicle during your participation in the program, is there any reason you feel that you should not be driving for these activities (for example medical or license restrictions, insurance, etc)

Driving

References:


References must be someone who has known you for at least two years.  References must not be directly related to the applicant.  It is better to name someone who has known you on a personal level.  These references will be contacted by phone.  Please let them know that you have given us their name.







I hereby authorize the Youth Diversion Program to contact my references and seek other information to determine  my suitability as a volunteer.  I  certify that the information given in this application is true, correct, and complete to the best of my knowledge and belief, and that any false impressions I may relay in my application or interviews could prevent me from volunteering with the Program.   I also understand that from time to time during my active volunteering, the Youth Diversion Program may conduct subsequent police and reference checks. In order to ensure all information is current.

Please identify the program(s) you are interested in





Youth Diversion | 613-548-4535 | 559 Bagot Street | Kingston K7K 3E1

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