Answer questions in the requested manner, using ACCURATE information please.

If your legal name is Richard, please use "Richard", not RICK, DICKY, etc.,

Legal First Name

Your legal name per your national identity document

Preferred First Name / Known As (only if applicable)

Only fill in this field if you have a nickname, preferred name, or are known by another name. Otherwise, please leave this field blank.

Legal Middle Name

Legal Last name

Personal Email Address

Email

Confirm Email

Date of Birth (MM/DD/YYYY)

Your Date of Birth

Gender

Male
Female

Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Cell Phone #

We prefer to contact volunteers using their cellphones. Please only place cell numbers in this box.

Home Phone #

Home phone number only! If you don't have a landline, skip this entry.

How did you hear about this volunteering opportunity with Operation Red Nose Winnipeg?

Please indicate how you found out about the opportunity to volunteer with Operation Red Nose Winnipeg. This helps us be more effective with our volunteer recruitment processes. Thank you!!

Have you volunteered with Operation Red Nose WINNIPEG before?

No
Yes

Group Volunteering

Operation Red Nose Winnipeg has a corporate / party volunteering experience for you, your colleagues, and friends to volunteer in a group setting, forming Drive Teams in groups of 3 people. You work together for your community while engaging in a fun team-building event!

We offer your party our famed volunteer hospitality and catering for your volunteering experience typical of our community volunteers, but we also provide group photos with Rudy (our mascot), and private channel two-way radios to create a little competition and banter between your teams. It's fun, and you are doing great work for your community and youth at the same time!

To take advantage of this option, you need 12+ people participating together on one of our campaign nights.

After your experience, Operation Red Nose Winnipeg allows you to donate 50% of proceeds from VOLUNTARY ride donations received by your party to a registered youth charity or non-profit of your choice. The remaining donations go to the Winnipeg Kids Foundation.

If this does not apply to you, please answer 'NO' to the following question to proceed to the next page with the individual volunteer application.

This does NOT apply if you are trying to volunteer in a private group of 2 or 3 volunteers, without a corporate / party attribution requiring 12+ people.

Are you volunteering as part of a corporate party, of NINE or more people?

No
Yes

If you are coming from an organization that is volunteering as a group on a campaign night, or are supporting Operation Red Nose as a sponsor, please answer this question appropriately. If you are volunteering as a community volunteer and are bringing friends to form a team, this is NOT relevant to you and you should answer 'NO'

Which organization are you volunteering from?

Who (if Other...)

How many people do you estimate are in your corporate party?

Which Campaign Night is your party attending?

Driving Details

Do you have a current CLASS 5F (FULL) driving license registered in Canada?

Yes
No

Does your license have any restrictions?

Yes
No

Details of License Restrictions

Detail all license restrictions on your current driving license. If you have more than 1, please declare ALL restrictions

License Province

Drivers License Number (FORMATTED AS XX-XX-XX-XYYYXY)

Drivers License Expiry Date (YYYY/MM/DD)

Drivers License Expiry as shown on your licence

Do you have past experience of driving STANDARD?

Yes
No

Note:

You have indicated you don't have a FULL class 5F license.

You are only eligible for the following roles when participating in Operation Red Nose.

Drive Team(s):

Navigator Role Only

Headquarters:

Dispatcher, Greeter, Hospitality, Night Manager, Rudy Escort (no driving permitted), Phone Operator, Social Media Representative, Dispatcher

Criminal Offences

I have NOT been convicted of a criminal offence in Canada, or elsewhere; or if I have been convicted of a criminal offence, I have obtained a pardon that I can present to Operation Red Nose Winnipeg.

True
False

You indicated you HAVE been charged with a criminal offence in Canada, or elsewhere, and you are NOT subject to a pardon for the offence. Please provide FULL details of ALL offences including the offence, date, and place of the event

Please provide offence type, name, date, and place of the event, for each offence on your criminal record. This may have an effect on your participation in Operation Red Nose.

Pending Charge(s)

I am NOT subject to any criminal charges in Canada, or elsewhere.

True
False

You indicated you ARE subject to pending charges in Canada, or elsewhere. Please give details including the charge, date, and place of the event, for each pending charge outstanding.

Please provide charge type, name, date, and place of the event for each charge outstanding. This may impact on your ability to participate in Operation Red Nose.

Court Order(s)

I am NOT subject to any court order(s) made against me in Canada, or elsewhere.

True
False

You HAVE indicated you are subject to court order(s) made against you in Canada, or elsewhere. Please give detailed information, including the details of the order, the date, and the place of the event, for each order you have against you.

Volunteer Declaration

I authorize Operation Red Nose Winnipeg to conduct a criminal record check to ensure that I meet the selection criteria set out by Operation Red Nose in this application.

However, only judicial antecedents that Operation Red Nose deems incompatible with the volunteer's assignment will be considered.

I authorize Operation Red Nose to request data from my driver's abstract from MPI to check the validity of my driving licence. I also consent to MPI forwarding the check results to Operation Red Nose Winnipeg.

A false declaration will result in the refusal of the application.

Furthermore, between the time I submit this application and my participation as a volunteer, I will inform Operation Red Nose of any new charge(s) against me relating to an offence and any conviction(s) in connection with such an offence.

Under the relevant legislation, Operation Red Nose and its representative agree to protect the confidentiality of all information and data about the organization(s) clients' and volunteers.

Any declaration in this application that contains unanswered questions will be considered incomplete, and rejected as a full application.

I confirm I have read the above terms and conditions and that I have filled this application form accurately and truthfully. By checking this box, I also acknowledge that I am bound by the Operation Red Nose volunteer agreement.

of charges charged

YES, I CERTIFY MY APPLICATION IS ACCURATE AND COMPLETE, AND I HAVE READ THE ABOVE TERMS.

Digital Signature Confirmation (Type Your Full Name)

Type your FULL name in this box to confirm this application is bound by a DIGITAL signature in your own name.