Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address with Postal Code *Preferred Telephone Contact # *Best Time To Call?Are you 18 years or older? *YesNoHow 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.caIdeed.comFriendAnother VolunteerChurch Bulletin or AnnouncementAnnouncement in ClassDisplay at Special EventOtherOther or More DetailsWhat 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?YesNoIf yes to above, what is your reason for wanting to volunteer?Spare TimeDevelop SkillsCommunity InvolvementPersonal SatisfactionDesire to Help OthersImprove Career or Study OpportunitiesOtherOtherIf no to above, please tell us your reason for taking this courseAre you currently volunteering or have you volunteered in the pastYesNoIf yes to above, please describe where, when, for how long and what your duties wereHave you had previous experiences that you think would be helpful to you volunteering with Telecare Peterborough? Please specifyPlease list any physical limitations we should be aware of, if any.Will you require assistance with the $50 training fee?YesNoBy checking this 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. *I AgreeBy checking this box, I also 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. *I AgreeSubmit This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
