Volunteers

Thank you for taking an interest in volunteering at Lanark Lodge. Please complete the form and our volunteer coordinator will contact you. Please note that all volunteers MUST pass a criminal background check, and must have up to date TB shots.

Full Name

Address

City

Postal Code

Home Phone

Cell Phone

Emergency Contact Name

Emergency Contact Phone Number

Relationship

Name of Reference

Phone Number

Relationship

Reference # 2 Name

Phone Number

Relationship

Reference # 3 Name

Phone Number

Relationship

Please list and previous volunteer Experience

How did you hear about us?

What days of the week are you available

Mon

Tue

Wed

Thur

Fri

Sat

Sun

Please indicate which shifts you are available to work

Days

Evenings

Both