Philip Aziz Centre & Emily's House Volunteer Application (2024/2025)

Please complete all parts of this form. This form will remain on file in our office. All volunteer information and files are confidential and are available only to authorized staff or volunteers who have signed a confidentiality agreement.

Throughout this form you will see reference to PAC (Philip Aziz Centre) and EH (Emily's House) used interchangeably.

NOTE: Formatting works best on a computer; it is not necessarily optimized to work on smaller devices (i.e. phone).

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* Salutation

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* First and Last Name

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* Address

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* City, Province

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* Postal Code

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* Email Address

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* Cell Phone

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* Alternate Phone Number

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* May we contact you at work?

Yes

Not Applicable

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* Closest major intersection to your home (e.g. Yonge and Bloor):

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* Are you 18 years old and older? If between 7-17 years old, please stop, and fill out an application at: www.philipazizcentre.ca/yac/

Yes

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* What is your age?

7 to 11 years - Gen Alpha

12 to 27 years - Gen Z

28 to 43 years - Millennials

44 to 59 - Gen X

58 to 76 years - Baby Boomer

79 to 96 years - Silent Gen

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* What is your birthday (example: August 14)

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* Primary Emergency Contact:

Full Name

Phone Number

Email Address

Philip Aziz Centre & Emily's House Volunteer Application (2024/2025)

Question Title

* Salutation

Question Title

* First and Last Name

Question Title

* Address

Question Title

* City, Province

Question Title

* Postal Code

Question Title

* Email Address

Question Title

* Cell Phone

Question Title

* Alternate Phone Number

Question Title

* May we contact you at work?

Question Title

* Closest major intersection to your home (e.g. Yonge and Bloor):

Question Title

* Are you 18 years old and older? If between 7-17 years old, please stop, and fill out an application at: www.philipazizcentre.ca/yac/

Question Title

* What is your age?

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* What is your birthday (example: August 14)

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* Primary Emergency Contact:

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* Relationship to Emergency Contact