Step 1 of 4 25% Please note, all program volunteers working with children must have a current Police Vulnerable Sectors Clearance (PVSC) valid within one year prior to the start of the program. Upon request, if you do not currently possess a PVSC, LDANR office staff may provide you with a letter to present to your local police station to apply for the clearance. To apply, you must bring with you two pieces of government issued identification. If you are not a resident of Niagara, but have a temporary Niagara address, you must also bring with you proof of address (e.g., proof of lease, utility bill etc.). Please note: There is a small fee to obtain a volunteer PVSC. Click here for more information on applying for a vulnerable sectors check.Name* First Last Email* Phone*Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Date of Birth*Method of Transportation*Bus/City TransitOwn vehicleDropped offAvailability*Please indicate the days and times during the week that you are available.Day of the weekTime Program SelectionBased on our needs, the LDANR offers the following volunteer opportunities. Please indicate your program of interest and location(s) you are available to volunteer in. Appropriate screening including a current vulnerable sectors police clearance will be required for all program positions.Please indicate your preference of program:*Reading Rocks (One-on-one; Grades 2-10)JUMP Math Tutoring (One-on-One; Grade 1-8)Reading Rocks Jr. (Small group; ELKP-Gr. 1)Let's R.E.A.D. (Small group; Grades 2-4)B.E.S.T. (Small group social skills; Grade 3-5)C.H.A.M.P.S. (After-school homework help)BINGOFundraising/EventsOffice HelpPlease indicate all areas of interest should your preference be full.* Reading Rocks (5 - 16 yrs) JUMP Math Tutoring (Gr. 1-8) Reading Rocks Junior (4 - 6 yrs) Let's READ (grades 2 - 4) B.E.S.T (Better Emotional and Social Times, 6 - 11 yrs) UW ASP CHAMPS (Homework Club) Full Day S.L.A.M. Program (6 - 12 yrs) BINGO Fundraising Office Help Special Events Please indicate your location(s) of interest:* St. Catharines Thorold Welland Fonthill Beamsville Niagara Falls Port Colborne Fort Erie Niagara-on-the-Lake What is your educational background?Have you had previous experience as a volunteer? If so, with what organizations, and what kind of work did you do?Briefly describe your employment history.What are some of your strengths? What are some of your weaknessess?Is there any other information that you would like to provide?What do you hope to gain from being a volunteer with LDANR?How did you hear about our organization?* ReferencesPlease provide the names and contact information for 2 references. *Please note, family members cannot be used as references.*Name of ReferenceRelationship (i.e. supervisor, manager, etc.)Contact Information (email & phone number)Name of ReferenceRelationship (i.e. supervisor, manager, etc.)Contact Information (email & phone number) Terms and Conditions* I hereby agree to comply with the Learning Disabilities Association of Niagara Regions policy on violence and harassment. This is with the understanding that non-compliance may result in my removal from LDANR programming. I understand that the information collected on this form will only be used to assess my eligibility for the position. This information will only be shared with LDANR staff. I give permission to Learning Disabilities Association of Niagara Region to contact the persons listed as my references for the purpose of obtaining reference information. These persons are aware that LDANR may contact them and have my permission to discuss information regarding my current and/or previous employment. I have read and agree to the above terms and conditions. Please type your name in the space below as your signature that you have read and agree to the above terms and conditions:*Untitled
