Farmfair International

Farmfair International Volunteer Form

	(*) Indicates a required field.
Last Name (*)	Invalid Input
Middle Name	Invalid Input
First Name (*)	Invalid Input
Home Address (*)	Invalid Input
City or Town (*)	Invalid Input
Province (*)	AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuébecSaskatchewanYukon Invalid Input
Postal Code (*)	Invalid Input
Home Phone Number (*)	Invalid Input
Cell Phone Number (*)	Invalid Input
Home Fax Number	Invalid Input
Email Address (*)	Invalid Input
Gender (*)	FemaleMale Invalid Input
Have you ever been employed by Northlands before? (*)	YesNo Invalid Input
Have you volunteered at Northlands before? (*)	YesNo Invalid Input
Are you a student? (*)	YesNo Invalid Input
Are you retired? (*)	YesNo Invalid Input
Are you employed? (*)	YesNo Invalid Input
Where did you hear about us? (*)	Volunteer FairWebsiteFriendNewspaperAt a Northlands EventTV/RadioOther Invalid Input
	If you are employed, please complete the employment section
	Employment or Business Information
Current Employer	Invalid Input
Your Occupation	Invalid Input
Work Address	Invalid Input
Work Email Address	Invalid Input
City	Invalid Input
Work Phone Number (*)	Invalid Input
Work Fax Number	Invalid Input
	Emergency Contacts
Name of person to contact in an emergency (*)	Invalid Input
Emergency Contact Cell Phone (*)	Invalid Input
Day Phone (*)	Invalid Input
Cell Phone Number (*)	Invalid Input
Evening Phone (*)	Invalid Input
Relationship to You (*)	Invalid Input
	Two non family references whom we may contact
First Reference Name (*)	Invalid Input
Daytime Phone (*)	Invalid Input
Evening Phone (*)	Invalid Input
Second Reference Name (*)	Invalid Input
Daytime Phone (*)	Invalid Input
Evening Phone (*)	Invalid Input
	Northlands is committed to the protection of your privacy. Northlands collects and uses your personal information to provide you with information on relevant products, services, and special offers that may be of benefit to you.
	By providing contact information such as full name, postal address, phone number, or e-mail address, you consent to the collection, use, and disclosure of your personal information by Northlands for these purposes only, unless you indicate otherwise to us in writing.
	Details of Northlands’ privacy policy are available online at northlands.com, or in printed form by request.
I agree (*)	YesNo Invalid Input
	I hereby allow Northlands to perform a check of my background, including police records, driving record, past employment / volunteer history, educational / professional status, personal references and other persons or sources as appropriate for the volunteer jobs available at Northlands.
	I understand that I do not have to agree to this background check, but that refusal to do so may exclude me from consideration for volunteer work. I understand that information collected during this background check will be limited to that appropriate to determining my suitability for volunteer work at Northlands and that all such information collected during the check will be kept confidential.
	I hereby also extend my permission to those individuals or organizations contacted for the purpose of this background check to give their full and honest evaluation of my suitability for volunteer work at Northlands and such other information as they deem appropriate.
I agree to allow Northlands to do a background check (*)	YesNo Invalid Input
	I verify that the statements in this volunteer application form are true. I understand and agree that a false statement may disqualify me from volunteering. I agree to abide by Northlands policies and regulations and to keep all information learned in the course of my volunteering at Northlands confidential.
I agree to the conditions stated above (*)	YesNo Invalid Input
Please fill in the words you see in the image	Refresh Invalid Input