Client Intake Form

Name

Street Address

Street Address Line 2

Town/City

Postal Code

Phone

Email

How did you hear about us?

What position are you interested in?

Client Driver

Food Delivery Driver

Friendly Caller

Tech Support Volunteer

Bingo Event Supervisor (Newmarket)

Good Food Collective (Georgina)

Approximately how many hours a week would you like to volunteer?

What times of day are you available to volunteer?

Daytime

Evenings

Weekends

Comments

If you are interested in becoming a volunteer driver, what type of vehicle do you have?

If you are interested in becoming a volunteer driver, how many years have you been driving?

If you are interested in becoming a volunteer driver, what motivates you?