Name *

First Name

Last Name

Have you volunteered for Electric Love in past years? *

Yes

No

Preferred Method of Contact *

Phone

Email

Both

Emergency Contact Phone

(###)

###

####

Do you have any medical conditions, allergies, or physical restrictions we should consider when assigning your duties? *

Yes

No

Are you bondable? *

Yes

No

Are you a Canadian resident? *

Yes

No

Are you over the age of 19? *

Yes

No

Do you have valid First Aid Certification?

Please check all that apply.

No

First Aid Level 1

First Aid Level 2

First Aid Level 3

Psychological First Aid

Wilderness First Aid

Do you hold any of the certifications listed below? *

Please check all that apply.

Food Safe (Level 1/Level 2)

WHMIS

Non-violent Crisis Intervention Training

Karmik Harm Reduction (non-certificate training)

S-100 Basic Fire Suppression and Safety

SuperHost and/or WorldHost

TCP Certification (Traffic Control Person - Flagging)

Framing Certified

Scaffolding Certified

Electrician - Level 1

Electrician - Level 2

None

What is your preferred shift? *

Morning

Afternoon

Evening

Late Night

Which department would you like to volunteer in? *

Please choose any that interest you.

Front Gate

Harm Reduction

First Aid

Merchandise Booth

Artist Relations

Production

Do you have a valid drivers license? *

Yes

No

I have read and understand Electric Love Code of Conduct. *

Yes, I agree to EL Code of Conduct.