Volunteering in the Correctional Service of Canada

Position Title:

Description of Project/Purpose of Assignment:

Outline of Volunteer’s Responsibilities:

Outcome and Goals:

Training and Support Plan:

Reporting:

Time Commitment:

Qualifications needed:

Benefits:

Volunteer Name:

Volunteer ID:

Start Date:

End Date:

Date CSC ID Issued:

Date CSC ID Returned:

Basic Information for Every Volunteer

Volunteer Application and Information Form
Personnel Screening,Consent and Authorization Form (Reliability Clearance)
Volunteer Self-Identification Form
Security Screening and Briefing Note
Interview Notes
Reference Checks Form
Volunteer Training Record Form
Picture on VIP

Additional Information Required for Escorts

Copy of Driver’s License
Copy of Insurance Paper
Copy of Driver’s Abstract

Additional Information (as needed)

Note to File: Concerns, problems, good news stories, or special recognition
Yearly Evaluation
Honours and Awards
Copy of Education: Certificate, diploma, degree (if needed for volunteer activity)
Health Concerns: Any allergies we should be aware of (bee stings, peanuts, etc.)
Expense Forms

Additional Comments:

Applicant:

Volunteer position:

References:

Name:
Position/Relationship:
Telephone number:
Date to contact:

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Name:
Position/Relationship:
Telephone number:
Date to contact:

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Name:
Position/Relationship:
Telephone number:
Date to contact

Questions for the References:

Notes:

Volunteer Name:

Volunteer ID:

Volunteer Orientation (Institutional)
Total hours:

Completed Volunteer Training
Total hours:

Non-Security Escort Training
Total hours:

Volunteer Refresher Training
Total hours:

Non-Security Escort Refresher Training
Total hours:

Trainer:

Location:

Training Dates:

I,
have completed the above training and know that the three most important rules to follow are:

1.

2.

3.

Volunteer Name:

Signature:

Date:

Successful Completion
Unsuccessful Completion
Withdrawn

Please provide the reason for unsuccessful completion or withdrawal

Volunteer Co-ordinator:

Signature:

Date: