Northern Multicultural Association — Building Bridges, Strengthening Communities

Make a Real Difference

Your time and skills directly support community members in need — the impact is immediate and meaningful.

Build Lasting Connections

Join a diverse, welcoming team and form friendships that cross cultural boundaries.

Grow Your Skills

Gain professional experience, references, and training opportunities while volunteering.

1SECTION 1: PERSONAL INFORMATION

Full Legal Name *

Date of Birth (DD/MM/YYYY) *

Phone Number *

Email Address *

Residential Address *

City / Province *

Postal Code *

2SECTION 2: IDENTIFICATION

Government ID Type *

ID Number *

Country of Issue *

3SECTION 3: CURRENT EMPLOYMENT DETAILS

Employer Name *

Job Title / Position *

Business Address *

Supervisor / Manager Name *

Employer Contact Number *

Employer Email *

Employment Start Date *

Employment Type

Full-TimePart-TimeContractTemporary

4SECTION 4: PREVIOUS WORK HISTORY

(List last 2–3 employers, if applicable)

Employer #1

Company Name *

Position *

Employment Period *

Supervisor Contact *

Employer #2 (Optional)

Company Name

Position

Employment Period

Supervisor Contact

Employer #3 (Optional)

Company Name

Position

Employment Period

Supervisor Contact

5AVAILABILITY, SKILLS & INTERESTS

Availability *

Weekdays

Mon – Fri during business hours

Weekends

Saturday and/or Sunday

Evenings

After 5:00 PM on weekdays

Flexible

Available anytime as needed

Areas of Interest *

Your Skills & Qualifications

Previous Volunteer or Community Experience

6SECTION 5: DECLARATION & CONSENT

By signing this form, I confirm that:

All information provided is true, accurate, and complete to the best of my knowledge.
I understand that this information may be used for verification purposes related to certification programs (including FCIP / RRCIP).
I authorize Northern Multicultural Association to verify my employment history and contact my current or previous employers if required.
I understand that providing false or misleading information may result in rejection, cancellation, or revocation of certification.
I consent to my information being shared with relevant authorities, program administrators, or partner organizations if required for verification or compliance.
I understand that my information will be handled confidentially and only used for legitimate purposes unless disclosure is required by law.

I confirm that I agree to all the declaration and consent terms stated above.

Digital Signature *

Make a Real Difference

Your time and skills directly support community members in need — the impact is immediate and meaningful.

Build Lasting Connections

Join a diverse, welcoming team and form friendships that cross cultural boundaries.

Grow Your Skills

Gain professional experience, references, and training opportunities while volunteering.

1SECTION 1: PERSONAL INFORMATION

Full Legal Name *

Date of Birth (DD/MM/YYYY) *

Phone Number *

Email Address *

Residential Address *

City / Province *

Postal Code *

2SECTION 2: IDENTIFICATION

Government ID Type *

ID Number *

Country of Issue *

3SECTION 3: CURRENT EMPLOYMENT DETAILS

Employer Name *

Job Title / Position *

Business Address *

Supervisor / Manager Name *

Employer Contact Number *

Employer Email *

Employment Start Date *

Employment Type

Full-TimePart-TimeContractTemporary

4SECTION 4: PREVIOUS WORK HISTORY

(List last 2–3 employers, if applicable)

Employer #1

Company Name *

Position *

Employment Period *

Supervisor Contact *

Employer #2 (Optional)

Company Name

Position

Employment Period

Supervisor Contact

Employer #3 (Optional)

Company Name

Position

Employment Period

Supervisor Contact

5AVAILABILITY, SKILLS & INTERESTS

Availability *

Weekdays

Mon – Fri during business hours

Weekends

Saturday and/or Sunday

Evenings

After 5:00 PM on weekdays

Flexible

Available anytime as needed

Areas of Interest *

Your Skills & Qualifications

Previous Volunteer or Community Experience

6SECTION 5: DECLARATION & CONSENT

By signing this form, I confirm that:

All information provided is true, accurate, and complete to the best of my knowledge.
I understand that this information may be used for verification purposes related to certification programs (including FCIP / RRCIP).
I authorize Northern Multicultural Association to verify my employment history and contact my current or previous employers if required.
I understand that providing false or misleading information may result in rejection, cancellation, or revocation of certification.
I consent to my information being shared with relevant authorities, program administrators, or partner organizations if required for verification or compliance.
I understand that my information will be handled confidentially and only used for legitimate purposes unless disclosure is required by law.

I confirm that I agree to all the declaration and consent terms stated above.

Digital Signature *

Work History & Personal Information Declaration Form

Make a Real Difference

Build Lasting Connections

Grow Your Skills

1SECTION 1: PERSONAL INFORMATION

2SECTION 2: IDENTIFICATION

3SECTION 3: CURRENT EMPLOYMENT DETAILS

4SECTION 4: PREVIOUS WORK HISTORY

Employer #1

Employer #2 (Optional)

Employer #3 (Optional)

5AVAILABILITY, SKILLS & INTERESTS

6SECTION 5: DECLARATION & CONSENT

Work History & Personal Information Declaration Form

Make a Real Difference

Build Lasting Connections

Grow Your Skills

1SECTION 1: PERSONAL INFORMATION

2SECTION 2: IDENTIFICATION

3SECTION 3: CURRENT EMPLOYMENT DETAILS

4SECTION 4: PREVIOUS WORK HISTORY

Employer #1

Employer #2 (Optional)

Employer #3 (Optional)

5AVAILABILITY, SKILLS & INTERESTS

6SECTION 5: DECLARATION & CONSENT