Please provide up to 3 references of past work you have done. Be sure to include Name, Relationship, and contact information.

Please note that in accordance with YD Policy, all volunteers are required to provide an up to date, satisfactory police security clearance. The cost to obtain a police security clearance is your responsibility. All volunteers (age 18+) are required to complete a Vulnerable Sector Police Records Search. Volunteers are required to complete an Offence Declaration every year.

• I understand that I am responsible to adhere to the YD Oath of Confidentiality and applicable YD policies and procedures.
• I understand that I am responsible for keeping a record of my hours and signing in/out before and after each of my shifts.
• I understand that while volunteering I need to wear an ID badge which is to be returned at the end of every shift.
• I understand that I am not to transport staff or clients in my vehicle.
• I understand that if I am required to be transported by a staff to a special event or while on
duty I do so at my own risk and with my approval. • I understand the use of cell phones, smoking or inappropriate behaviour during volunteering is prohibited.
• I understand that volunteers may be discharged for unacceptable behaviour(s) including disclosing confidential information, theft, property damage or volunteering under the influence of drugs, alcohol or any other controlled substances.
• I understand YD screens all candidates and not all applicants can be accepted.
• I understand that reliability, maturity and good communication skills are required to proceed with the application process.
• I verify that all of the information included in this document is accurate.

By submitting this form you agree to authorize the release of your personal information as noted above to Youth Diversion for the purpose of providing information regarding your application.