Volunteer Application for Outreach Supporters Please complete all fields in this form before submitting. About the applicant: Name: Address: City/Town: Province/State: Postal/Zip Code: Email: Phone: Emergency Contact: Are you willing to volunteer in surrounding areas? YES NO How did you hear about Tetra Society? Previous Experience Tell us about your previous volunteer experience with other organizations. Interests/Skills What are you interested in: Social media and traditional media Presentations Media opportunities Administrative duties Fundraising Social impact projects Please give an example of one skill and how it can assist the Tetra Society: References Please list two references, at least one of who has knowledge of your skills/abilities relevant to this volunteer position. NAME RELATIONSHIP PHONE EMAIL 1 2 Are you willing to undergo a criminal record check? YES NO DO YOU AUTHORIZE THE TETRA SOCIETY OF NORTH AMERICA TO COLLECT PERSONAL INFORMATION APPROPRIATE TO THE POSITION YOU ARE APPLYING FOR CONCERNING YOUR ACADEMIC AND PROFESSIONAL BACKGROUND, AND TO VERIFY CHARACTER REFERENCES THAT YOU SUPPLIED - WITH THE UNDERSTANDING THE INFORMATION OBTAINED WILL BE KEPT CONFIDENTIAL, EXCEPT AS OTHERWISE REQUIRED BY LAW? YES NOI understand that this application does not imply acceptance to be a volunteer with the Tetra Society of Nor th America. Selected applicants will successfully complete an interview, reference checks, and participate in appropriate orientation and training. Signing below indicates unders tanding of this process, and declaration that the information provided on the form is t rue to my best knowledge. DATE: APPLICANT'S SIGNATURE: PLEASE ENSURE THAT ALL FIELDS ARE COMPLETED PRIOR TO SUBMISSION.