Emergency Evacuation Centre Volunteer Application

Applicant Information

First Name

Middle Initials

Last Name

Applicant's Gender Applicant's Gender

Male

Female

Are you 19 years of age or older? Are you 19 years of age or older?

Yes

No

Do you have a valid driver's license? Do you have a valid driver's license?

Yes

No

Have you been convicted of an offence under the youth criminal justice act or adult law? Have you been convicted of an offence under the youth criminal justice act or adult law?

Yes

No

Daytime Contact Information

Preferred method(s) of daytime contact Preferred method(s) of daytime contact

Phone

Email

Evening Contact Information

Preferred method(s) of evening contact Preferred method(s) of evening contact

Same as daytime contact

Phone

Email

Scheduling

Please check shifts you are available for Please check shifts you are available for

07:00 - 13:00

13:00 - 19:00

19:00 - 01:00

01:00 - 07:00

Notes

Note Details

The personal information on this form is collected by the City of Prince George for the purposes of processing this application, under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection of information, please contact the Manager of Social Planning at 1100 Patricia Boulevard, Prince George, BC, or by telephone 250-561-7765.

Learn more information about the collection of personal information under the Freedom of Information and Protection of Privacy Act.