APSEA Volunteer Driver Application

APSEA Volunteer Driver Application

Apply Now to become a volunteer driver supporting APSEA’s mission across Atlantic Canada!
Full Name:*

First NameLast Name
Personal Pronouns:
Email Address: *
Contact Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address
CityProvincePostal Code
Nova Scotia - HRMNova Scotia - outside of HRMAll of Nova ScotiaNew Brunswick - MonctonNew Brunswick - Saint JohnNew Brunswick - FrederictonAll of New BrunswickAll of Prince Edward Island
Have you previously worked or volunteered with APSEA before? *
Why are you interested in being a volunteer driver with APSEA?*
Please describe any work or volunteer experiences you would like to highlight: *
Please indicate if there are any restrictions for you being able to volunteer with APSEA?:*
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
MorningsEveningsAfter work (5-9 PM)Weekend (anytime)Other
Since you selected 'Other', please advise when you are available?*
Please List An Emergency Contact Person (Full Name): *

Street Address

Full Name
Relationship to ApplicantContact Phone NumberZip Code
Yes
Please read the following declarations before submitting your application. By submitting your application, you are agreeing to the following:
- I declare that all the information provided on this form is complete and true in every respect.
- I understand that failure to completely and truthfully answer the questions asked of me, when discovered, will constitute ground for immediate rejection of my application, or if already accepted as a volunteer, immediate dismissal for just cause.
- I consent to being contacted by APSEA about volunteering, including being contacted about my assignment(s).
- I understand that I can withdraw this consent at any time.
- I understand that all personal information I provide will be collected, used, disclosed or retained in accordance with APSEA's Protection of Privacy Policy.
Thank you for your interest in volunteering! Someone from our team will reach out to you shortly on next steps.
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