VOLUNTEER COMMITMENT & RESPONSIBILITIES

By signing this form, you are agreeing to the commitments and responsibilities defined below:

I will serve my community to the best of my ability while assuring the integrity of NSEM.
I will complete required prerequisites within the required time, updating skills as required
I will attend a minimum of 60% of team meetings and will actively participate
I will perform my volunteer role to the best of my abilities
I will not engage in my volunteer role while under the influence of alcohol or drugs
I will serve my community to the best of my ability while assuring the integrity of NSEM
I will complete required prerequisites within the required time, updating skills as required
I will attend a minimum of 60% of team meetings and will actively participate
I will not engage in my volunteer role while under the influence of alcohol or drugs
I will take care of my own physical and emotional health and support other team members to do the same
I will report any unsafe conditions to my supervisor, ensuring the safety of myself and others
I will conduct myself according to acceptable social standards and contribute to an environment of mutual respect and dignity, free from discrimination or harassment
I will provide service to individuals affected by disasters in a manner that is courteous, caring, and professional, while respecting the dignity of people receiving service
I will not use my position for personal advantage for myself, friends or relatives
I will never misrepresent myself, my training or my skills to any organization or individual
I will comply with NSEM policies, follow NSEM operational guidelines and established reporting structures
I will obey all laws when responding and when performing volunteer activities

NORTH SHORE EMERGENCY MANAGEMENT COMMITMENT

To provide volunteers with orientation to their role(s) and responsibilities
To provide volunteers with ongoing training, support and all required resources to perform their duties effectively and efficiently.
To ensure volunteers are treated respectfully and as a colleague and team member.
To ensure volunteers have a safe working environment, understanding that for emergency response volunteers, there are some inherent risks to response.
To provide volunteers with regular performance evaluations.
To value volunteers for the skills and qualities they bring to the volunteer program and ensure they receive recognition for their work.
To strive to provide volunteers with assignments and opportunities that enable growth and provide meaningful support to NSEM and the residents of the North Shore.

CORE VOLUNTEER APPLICATION

Indicate which team(s) you are interested in joining *

Emergency Social Services (ESS)
Emergency Education Team (EET)
Emergency Communications Team (ECT)
General Services Unit (GSU)
Emergency Management Team (EMT)*

*Except in extenuating circumstances, EMT requires internal application after a minimum of six months on another team.

How did you learn about NSEM volunteer opportunities? *

NSEM web site
Other NSEM volunteer
Volunteer North Shore
I attended a workshop/booth
Partner agency
I was engaged elsewhere
Other

Briefly explain why you wish to volunteer with North Shore Emergency Management: *

Given Name, Initials *

Last Name *

Other names you go by

Radio call sign (if any)

Email *

Mobile Phone *

Other Phone

Other Phone is

Home
Work

Occupation

Work Location *

Home Address *

City *

Postal Code *

Date of Birth *//

BC Driver's Licence

Do you have reliable personal transportation?

English Comprehension *

Speak
Write
Read

Other Language

Emergency Information

Emergency Contact Name

Relationship

Mobile Phone

Other Phone

List any relevant certifications, qualifications, skills or experience that you think may be of benefit to your role

List any service limitations (i.e. heavy lifting, etc)

References

Reference Name *

Relationship *

Email *

Mobile Phone *

Other Phone

References

Reference Name *

Relationship *

Email *

Mobile Phone *

Other Phone

Confidentiality

I acknowledge and confirm that as a volunteer, I may acquire confidential information which may contain personal information, and that such information will remain in the strictest confidence, that individuals’ personal information is protected from unauthorized disclosure by the Freedom of Information and Protection of Privacy Act, and that unauthorized disclosure of individuals’ personal information is an offence under that Act. The unauthorized disclosure of such information to any unauthorized person, including making copies of any documents or records which contain or are derived from such information, is forbidden and is grounds for immediate dismissal and potential prosecution.
I agree to not discuss the details of my volunteer work, present or past with any representative of the media or any unauthorized person, or publicize any of the confidential aspects of my position by any medium of communication unless specifically given instruction to do so by my direct supervisor and/or a NSEM staff person. I agree to direct all enquiries from the media to the designated NSEM staff member or authorized agency.

By checking boxes and signing this form, you are agreeing to the terms and conditions defined above

Dismissal & Terminating The Volunteer Relationship

I understand that I am viewed by the public as an agent of NSEM, the three North Shore municipalities and Emergency Management BC (EMBC) and that if I act in a manner that is considered unsatisfactory or unbecoming, that this will be addressed by NSEM through the following disciplinary process up to an including dismissal.
I agree that I will provide written notice to NSEM when I wish to terminate my volunteer relationship.
On terminating my volunteer relationship with NSEM, I will return any issued equipment, keys, uniform and my EMBC identification card within 2 weeks of termination or as agreed upon with NSEM staff.

By checking boxes and signing this form, you are agreeing to the terms and conditions defined above

Freedom Of Information And Protection Of Privacy Act Notice

Personal information collected on the NSEM Volunteer Application Form is collected under the Freedom of Information and Protection of Privacy Act section 26(c) and will be used for the purpose of the NSEM volunteer program. If you have any questions about the collection and use of this information please contact North Shore Emergency Management at 778-338-6300.

By checking boxes and signing this form, you are agreeing to the terms and conditions defined above

Disclaimer

I certify that all answers given by me on this volunteer application form are true, correct and complete to the best of my knowledge. NSEM has my consent to contact the references I have identified in this application. I have contacted the above references to confirm their contact information and their willingness to provide a reference for me. I have read the “Responsibilities of a Volunteer” statements and understand that breaching of any of these responsibilities would be cause for termination of my volunteer position. I agree to comply with NSEM policies, rules and regulations. I acknowledge that NSEM is under no obligation to accept me as a volunteer.

By checking boxes and signing this form, you are agreeing to the terms and conditions defined above

VOLUNTEER COMMITMENT & RESPONSIBILITIES

NORTH SHORE EMERGENCY MANAGEMENT COMMITMENT

CORE VOLUNTEER APPLICATION

Emergency Information

References

References

Confidentiality

Dismissal & Terminating The Volunteer Relationship

Freedom Of Information And Protection Of Privacy Act Notice

Disclaimer

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