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CMHA Middlesex

Home » Apply to be a Volunteer

Apply to be a Volunteer

If you are interested in volunteering at CMHA Middlesex, please fill out the form below. Our team will be in contact with you to discuss opportunities!

Volunteer Application

  • Name * Required
  • Address * Required

  • Emergency Contact

  • Emergency Contact Name * Required

  • Availability

  • Preferred times for volunteering. * Required

  • Skills and Interests

  • Drop files here or
    Accepted file types: doc, docx, pdf, jpg, png, gif.
    Maximum file size - 10 mega bytes. Allowed file extensions - doc docx pdf jpg png gif.
  • Indicate which volunteer activities you are interested in
  • Have you volunteered with a CMHA Middlesex, WOTCH Mental Health Services or My Sisters' Place program before? * Required

  • Previous Experience (Paid and Volunteer)

  • Previous Experience * Required
    OrganizationDutiesFrom (MM/YY)To (MM/YY)Add or remove row
    Add a new row
    Please list past paid or volunteer experiences.

  • References

    Please provide three references. One must be a professional reference.
  • References * Required
    Reference NameAddressPhone NumberEmail AddressRelationshipAdd or remove row
    Add a new row

  • Acknowledgement

  • Declaration * Required
    I declare that the information provided in this application is truthful, complete and correct. I authorize the Canadian Mental Health Association Middlesex to contact individuals or organizations I have named on this application to obtain further information that would assist with my placement as a volunteer. The information on this application form is collected under the authority of the Freedom of information and Protection of Privacy Act, and will be used solely for the purpose of determining eligibility and suitability for volunteer opportunities.
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