Volunteer Application Form

Thank you for your interest in volunteering with Interval House of Ottawa (IHO). Our volunteers play a vital role in supporting the people who come to us for safety and support. Please complete the following application form carefully. All information is kept strictly confidential.

Personal Information

First name

Last name

Are you 18 years or older?

Yes

No

Address (Optional)

Phone Number (Primary)

Phone Number (Alternate, optional)

Email Address

Preferred Method of Contact

Phone

Email

Languages spoken

English

French

Other (please list)

Availability for Volunteering

Please indicate your general availability

Weekdays (daytime)

Weekdays (evening)

Weekends

Flexible

Specific Days/Times Available

How many hours per week are you available to volunteer?

Start Date

Length of Commitment (e.g. 3 months, 6 months, 1 year)

Areas of Interest

Skills and Experience

Please describe any relevant work, education, volunteer experience, or special skills (e.g., CPR/First Aid, second languages, trauma training, etc.)

Do you have experience working with vulnerable or marginalized populations? While this experience is not required, it’s helpful for us to understand if you have had any exposure in this kind of an environment. Please share any relevant examples.

No

Yes (please explain)

Motivation and Alignment

Why are you interested in volunteering with Interval House of Ottawa?

How can we make this experience more meaningful to you?

Background Check and Confidentiality

All volunteers must undergo a Level 3 – Vulnerable Sector Police Records Check and sign a Confidentiality Agreement prior to placement.

Are you willing to complete a Police Records Check (Level 3 – Vulnerable Sector Check)?

Yes

No

Declaration and Consent

I certify that the information provided in this application is accurate and complete to the best of my knowledge.

I understand that completing this application does not guarantee a volunteer position.

I consent to Interval House of Ottawa contacting the references provided and conducting a background check.

I affirm that the name entered above is my own. By checking this box and submitting this application, I declare that all information provided is true and complete. I understand that my typed name, this checkbox, the submission date/time constitute my electronic signature

Date of application

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