Volunteer Registration - Multi-Service Centre

Celebrating 45 Years!

Thank You for Deciding to Volunteer!
You're helping make the community a better place to live.

Name

Birthday

Address

Town/City

Postal Code

E-mail Address

Primary Phone Number

Secondary Phone Number

Best Time to Call

Emergency Contact Name

Relationship

Address

Town/City

Postal Code

E-mail Address

Home Phone Number

Cell Phone Number

Business Phone Number

Please check which of these prompted you to apply for volunteer service for the MSC or Stonebridge

Advertisement A Current or Past Client MSC or SCS Volunteer/Staff Another Source

Please elaborate.

Please tell us why you want to volunteer for the MSC or Stonebridge

In which areas of volunteer services are you interested?

Which geographical area would you prefer? (MOW & Exercise Instructors only)

Tillsonburg Straffordville/Eden Norwich/Burgessville/Otterville Other

How often are you available to Volunteer?

Are you available to fill in for last minute cancellations?

Does anyone smoke in your vehicle?

What drives do you prefer?

Would you consider training to drive our Wheelchair Accessible Van?

How do you prefer to be reimbursed for your mileage?

Name of Reference

Relationship to You

Phone Number

Name of Reference

Relationship to You

Phone Number

Name of Reference

Relationship to You

Phone Number

We will require a formal vulnerable police records check for all volunteers and possibly a current driver's abstract at the expense of the MSC. By providing your e-signature below, you hereby certify that all information included in this application is true.

Our Service Partners:

CONTACT

For contact info regarding complaints, please click here

Employment: 519-842-9008 ext. 291

Literacy: 519-842-9008 ext.266

Home Support: 519-842-9008 ext. 317

Livingston Centre: 519-842-9000

The Tillsonburg & District Multi-Service Centre is a registered charity that began operation in 1978. That means this year, we’re celebrating 45 years as a resource for Employment, Literacy, and Home Support to people in the tri-county area. We have spent 45 years ensuring our services are high quality and accessible. The MSC is an accredited organization that is proud to support people in our community yesterday, today, and for years to come!

Celebrating 45 Years!

Thank You for Deciding to Volunteer!You're helping make the community a better place to live.

Our Service Partners:

CONTACT

LOGIN

Thank You for Deciding to Volunteer!
You're helping make the community a better place to live.