This is a Pan-Canadian Policy applicable to Volleyball Canada and the Provincial/Territorial Associations.
www.volleyballalberta.ca
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Appendix A – Application Form
Note: Individuals who are applying to volunteer or work within certain positions with Volleyball Canada or a
Provincial/Territorial Association must complete this Application Form. Individuals need to complete an Application Form
once for the position sought. If the individual is applying for a new position within Volleyball Canada or within a
Provincial/Territorial Association, a new Application Form must be submitted.
NAME: __________________________________________________________________________________
First Middle Last
CURRENT PERMANENT ADDRESS:
____________________________________________________________________________________
Street City Province Postal
DATE OF BIRTH: _______________________ GENDER IDENTITY: ________________
Month/Day/Year
EMAIL: _________________________ PHONE: __________________________
POSITION SOUGHT: ______________________________________________
By signing this document below, I agree to adhere to the policies and procedures of Volleyball Canada or a
Provincial/Territorial Association (as applicable), including but not limited to the Code of Conduct and Ethics, Conflict of
Interest Policy, Privacy Policy, and Screening Policy. Policies are located at the following link:
https://www.volleyballalberta.ca/who-we-are-policies
I recognize that I must pass certain screening requirements depending on the position sought, as outlined in the
Screening Policy, and that the Screening Committee will determine my eligibility to volunteer or work in the position.
NAME (print): ________________________ DATE: __________________________
SIGNATURE: _________________________
