ࡱ > # bjbj 0 S S S S S 4 h 4 # , - O O ( w w w D D D L- N- N- N- N- N- N- $ / Y2 d r- S 1 " " D 1 1 r- S S w w - 1 p S w S w L- 1 L- \+ | h, w hG X + 8- - 0 - + ~ 2 < 2 $ h, 2 S h, D " f ~ D D D r- r- 5 D D D - 1 1 1 1 2 D D D D D D D D D : Metro Vancouver Chapter VOLUNTEER APPLICATION Thank you for your interest in joining MADD Canadas team of dedicated volunteers. Together, we can stop impaired driving and support the victims of this violent crime. Please complete this form and fax 604-552-9281, mail PO Box 78043 RPO Northside, Port Coquitlam, BC V3B 7H5 or email maddva@telus.net it to the MADD Metro Vancouver Chapter office. My Contact Information: Name _____________________________________________________ (First) (Last) Address _____________________________________________________ (Street Address) (City / Town) (Province / Postal Code) Telephone: _____________________________________________________ (Home) (Business) (Cell) E-mail: ______________________ Fax: _____________________ About Me (Check all that apply): Are you a: ( concerned citizen ( victim of impaired driving Have you ever been charged or convicted of impaired driving? ( Yes ( No Are you prepared to undergo screening as it relates to your volunteer position with us? ( Yes ( No When are you available? ( Days ( Evening ( Weekend Personal References: Name: ____________________________ Phone: ____________________ Name: ____________________________ Phone: ____________________ I would like more information on volunteer opportunities in the following areas: Education and Awareness Board of Directors Office Support Faces of MADD (our volunteer canvas program) Youth Initiatives Public Speaking Project Red Ribbon Campaign Public Policy Supporting Victims Court Monitoring Media Relations Strides for Change Walkathon Special Events Other _______________ MADD Canada: Volunteer Code of Conduct As a volunteer, I will......... Treat others in a courteous, respectful manner. Honour and support the efforts of fellow volunteers. Communicate honestly and fully with others. Be inclusive to people regardless of race, origin, sex, religion or disability. Not be involved in criminal activities. Encourage young people to become involved. Refrain from public criticism of fellow volunteers, members and staff. Be friendly and welcoming to new members. Not abuse alcohol or drugs. Refrain from profane, insulting, harassing or otherwise offensive language in the conduct of my volunteer duties. Encourage non-victims to become involved and play a key role in your Chapter. Be honest and trustworthy. Respect one anothers opinion even if they differ from your own. Respect the privacy of others. Respect and adhere to MADD Canadas policies and guidelines that relate to volunteer activity and the program I serve. Refrain from using my MADD Canada volunteer status for personal or business financial gain. Refrain from wearing inappropriate clothing when representing MADD Canada. Show up on time for volunteer commitments. I agree to abide by this Code of Conduct. Name of Volunteer (please print) Signature Date *This form is to be signed by all volunteers and kept on file at the Chapter office. Page PAGE 1 of NUMPAGES 2 / 0 F G O P ` a p u ֿ惍uh]]SF h) h) OJ QJ ^J ho OJ QJ ^J h3