YOUTH VOLUNTEER REGISTRATION Legal Name(Required) First Last Preferred First NameAge(Required)Language(Required)Other Language/s(Required)Phone(Required)Email(Required) Address(Required) City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Parent's Name(Required) First Last Parent's Email(Required) Please tell us why you are interested in volunteering with us:(Required)Please indicate which of the following volunteer positions interest you (check all which apply)Direct contact with clients Newcomer Youth Tutor (Online) Special Events (Tree Planting Day) - Not active Co-facilitator for Youth French Conversation CircleIf you want to be a newcomer youth tutor, are you currently in? (Applicable only for Volunteer Tutor) Grade 11 Grade 12 University Employed OtherWhich subject are you comfortable in teaching ? (Applicable only for Volunteer Tutor) English Mathematics French Science ChemistryResume (Upload a Word or PDF file, max 5Mb) - Only applicable for Volunteer Tutor*Accepted file types: pdf, doc, docx, Max. file size: 5 MB.ConsentLIABILITY WAIVER FORM AGREEMENT(Required) ConsentI give permission for my child mentioned above to partake in all activities planned by HMC Connections’ Community Connections Youth Program. The Halton Multicultural Council, and other community partners, therefore cannot be held liable for any accidents, injury, damage, or loss of personal possessions caused during the program activities both on and off-site. If applicable, I also give permission for my child to travel to and from the event or sessions alone (e.g. public transit, on-foot). All the same, I understand that the Halton Multicultural Council, and other community partners, are not liable for the safety and wellbeing of your child under these circumstances. I understand all the risks and liabilities involved, and as such, agree to the terms and conditions above.CONSENT FOR RELEASE OF INFORMATION(Required) Yes NoI, hereby authorize the HMC Connections to exchange & disclose my information internally with HMC programs. I have asked HMC for assistance and give full permission to disclose my personal information (if required) to IRCC & other applicable Service Providers for support, guidance, advocacy, information or referralsMEDIA/ELECTRONIC/PRINT/PUBLICATIONS/COMMUNICATIONS RELEASE FORM(Required) Yes NoI, the above named volunteer, student, employee, group, participant at the Halton Multicultural Council (HMC), unequivocally consent to the publication (including HMC social media accounts and website), release and transmission of the digital/electronic/print/photographs, to the extent that they may deemed necessary for express use thereof. This release and consent is voluntary. If you don’t wish to participate, there is no obligation on your part.Disclaimer(Required) I confirm that read and agreed with the disclaimer below.By submitting the online application, I hereby confirm that the information given in this form is true, complete and accurate. I understand and acknowledge that the information obtained is confidential but may be shared with relevant HMC departments. I acknowledge and understand that if I am successful in obtaining a volunteer position with HMC, the volunteer position is conditional upon receipt of an original Security Clearance Request (Volunteer)** and Vulnerable Sector Screening that is acceptable to HMC. Additionally I authorize HMC Connections (HMC) to verify the references that I would supply during my initial interview.PhoneThis field is for validation purposes and should be left unchanged.