ABBOTSFORD EMERGENCY SUPPORT SERVICES(ESS) VOLUNTEER APPLICATION

Thank you for your interest in the ESS volunteer position with the City of Abbotsford Emergency Program.

  • Please have all of your reference documents ready.
  • Upload file(s) in PDF or JPG format only; Maximum file size allowable is 1 GB.
  • THIS FORM MUST BE COMPLETED AND SUBMITTED IN ONE SITTING (CAN NOT BE SAVED AS A DRAFT).
  • * indicates required field

Once you have completed and submitted this application, a copy will be sent to an email address. Please DO NOT reply to this email.

For questions or inquiries contact Abbotsford Emergency Program at epo@abbotsford.ca

APPLICANT'S INFORMATION

Please read each question carefully and answer all required. If the question is not applicable, then type n/a in the answer box.

* First Name
Middle Name
* Last Name
* Date of Birth?
/ /
* Gender?
  • Male
  • Female
  • Prefer not to disclose
  • Other
* Do you have valid Driver's License?
  • Yes
  • No
* Your Street Address
* City
* Province
* Postal Code
Home Telephone Number
- -
* Cellular Telephone Number
- -
* Your Email Address

EMPLOYMENT HISTORY

Please begin with your current employer

Business Name
Business Address (include City, province, postal code)
Business Phone Number
- -
Supervisor/Manager
Your job description /duties
How long have you been employed here?
Why did you leave?
Business Name
Business Address (include City, province, postal code)
Business Phone Number
- -
Supervisor/Manager
Your job description /duties
How long have you been employed here?
Why did you leave?
Business Name
Business Address (include City, province, postal code)
Business Phone Number
- -
Supervisor/Manager
Your job description /duties
How long have you been employed here?
Why did you leave?

VOLUNTEER EXPERIENCE

Please share your most recent volunteer experience

Organization Name
Organization Address (include City, province, postal code)
Organization Phone Number
- -
Organization's Website
Supervisor/Manager
Your duties as a Volunteer
Organization Name
Organization Address (include City, province, postal code)
Organization Phone Number
- -
Organization's Website
Supervisor/Manager
Your duties as a Volunteer:
Organization Name
Organization Address (include City, province, postal code)
Organization Phone Number
- -
Organization's Website
Supervisor/Manager
Your duties as a Volunteer

EDUCATION BACKGROUND

* Have you graduated High School
  • YES
  • NO
* Are you currently enrolled in any post-secondary education?
  • YES
  • NO

EMERGENCY CONTACT PERSON

As part of the Emergency Program, you will be responding to disasters on many different levels.  So that we are prepared to best support you in an Emergency.

Please provide the following information:

* First Name
* Last Name
* Relationship to you:
* Phone Number
- -
* Cell Phone Number
- -
* Emergency Contact's Address (include house # City, province, postal code)

PERSONAL INFORMATION

* Do you have any life-threatening allergies or medical conditions that we should be aware of? Please provide the name of the allergy or medical condition and your treatment plan.
* Do you take any medications for health reasons?
  • YES
  • NO
* Do you speak, understand, read or write any other language fluently? (please indicate what language and in what capacity you can communicate in this language)
* What other skills do you offer as a volunteer?
* Please attach a scanned copy of your government-issued ID (driver's license, passport, First Nations status card)

Please affirm the following statements:

* I completed this application myself without the assistance of Artificial Intelligence software (AI).
  • Yes
* I affirm I have reviewed the information about being an ESS Volunteer and understand the commitment to the ESS Program as a volunteer.
  • Yes
* I affirm that the information within this application is correct to the best of my knowledge and that I did not have assistance from any other person in completing the application.

  • Yes

Important: Please ensure all required documents are uploaded as part of the application process. Incomplete application will not move forward in the process.

* How did you hear about the Abbotsford Emergency Program ESS Volunteer Program?
  • Civic Info
  • Electronic sign ad
  • Friend/ City employee
  • Newspaper ad
  • Website
  • Other
* I hereby certify that the information given on this application is true and I understand that any untrue statements may be grounds for dismissal or revocation of application.
  • Yes
* By submitting this application, I am effectively signing this application.
  • I Agree