Erland Lee (Museum) Home
552 Ridge Road, Stoney Creek, 905-662-2691
Today's Date:___________________________
Name of Volunteer:______________________________________________________
Phone number:___________________ Cell number:__________________________
Email address:__________________________________________________________
Emergency name and contact #:____________________________________________
Medical conditions/allergies:_______________________________________________
How did you learn about this volunteer opportunity?_____________________________
Do you need to complete community or educational volunteer service hours?_________
Why do you want to volunteer at the Erland Lee (Museum) Home?_________________
What volunteer roles interest you the most? Please check all that apply:
Museum Docent/Tour Guide ____ Special Events ____
Gardening/Maintenance ____ Gift Shop ____
Other (if you have an idea, please let us know!)________________________________
Thank you so much for your interest in volunteering your time at this National
Historic Site! We look forward to discussing the opportunity with you soon!
What is your availability? Please check all that apply and provide details if necessary:
Weekdays ___ Weeknights ___ Weekends ___ Special Events ___
Have you ever been convicted of a criminal offense for which a pardon has not been
*Depending on your volunteer role, a police check may be required and may be a condition of
your volunteer placement at the Erland Lee (Museum) Home.
Please provide two references (these references will be used as part of our screening
Name:__________________________ Relationship to you: ____________________
Phone #:________________________ Alternate phone #: _____________________
Name:__________________________ Relationship to you:_____________________
Phone#:________________________ Alternate phone #:______________________
If under the age of 18, please have a parent or guardian complete the section below. As
well, please review and sign the attached confidentiality agreement.
For Volunteers under the age of 18: Age:______
I, ________________________________, give ____________________________________
(print name of parent/guardian) (print name of volunteer)
permission to participate in the Volunteer Program at the Erland Lee (Museum) Home.
Parent/Guardian Signature:_____________________________________________________
click to sign
click to edit