Central Alberta Science Network

Science Festival Form

Volunteer Information

First Name:*
Last Name:*
Email:*(valid email required)
Office Phone Number:*
Home Phone Number:*
City:*
Address:*
Postal Code:*
Emergency Contact Name:*
Emergency Contact Number:*
Occupation:*
Languages or Special Skills:*
Volunteer Experience:*
References Names & Phone Numbers:
1)*
2)*
3)*
Is there any personal or medical consideration relevant to volunteering of which the Volunteer Coordinator should be aware?(If yes, the Volunteer Coordinator will contact you directly, in confidence)*
Yes No
Would you be willing to have a criminal record check?*
Yes No

Volunteer Scheduling

Event Availability:*
All Day AM PM
Description or title of the preferred job:(See News/Events for available positions)
1st Choice:*
2nd Choice:*
3rd Choice:*

Volunteer Agreement

Through your agreement to participate in the activities of the Central Alberta Science Network (CASN), you should be aware that you will be acting independently, and are not the servant, employee or agent of CASN. As a Volunteer you are expected to behave in a principled manner while participating in activities arranged through CASN. For greater certainty each volunteer should also ensure that for classroom or community group activities the teacher, group leader or other legally responsible adult remains in the room or facility during the entire scheduled activity period. Under no circumstances are CASN Volunteers legally responsible for the discipline or safety of the children present during a visit.
By agreeing below you verify that you confirm the information you have given is accurate and that you agree to conditions outlined above.*
I agree
*required fields