Name Email Address with postal code Preferred telephone contact # Best time to call How did you find out about volunteering with Telecare Peterborough? (check all that apply) Radio Station (list below which one)Bus adPoster (list below where you saw it)Newspaper ad (list below which one)Television adWebsiteFacebook211ontario.caIndeed.comFriendAnother VolunteerChurch Bulletin or AnnouncementAnnouncement in ClassDisplay at a Special EventOther Other or more details What prompted you to apply for training? Have you used Telecare or other Distress Line Services? If yes to above, when? Do you intend to become a Telecare volunteer if invited to do so after completing 50 hours of training? YesNo If yes to above, what is your reason for wanting to volunteer? Spare TimeDevelop SkillsCommunity InvolvementPersonal SatisfactionDesire to Help OthersImprove Career or Study OpportunitiesOther Other - If no to above, please tell us your reason for taking this course Are you currently volunteering or have you volunteered in the past YesNo If yes to above, please describe where, when, for how long and what your duties were Have you had previous experiences that you think would be helpful to you volunteering with Telecare Peterborough? Please specify Please list any physical limitations we should be aware of, if any. Will you require assistance with the $50 training fee? YesNo REQUIREDBy checking the below box, I understand that to become a member of Telecare Peterborough, I must be willing to take the full training, and that my membership is probationary for the first six months. Membership commitment is renewed annually. REQUIREDBy checking the below box, I understand that volunteering on the phone line means answering calls on-site in Peterborough. i also understand that I will be asked to volunteer the equivalent of one 4-hour shift every two weeks. You may attach and upload a resume to your application if you would like This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.