Victim Services Advocate Application Form

To apply to become a Victim Services Advocate please fill out the form below.  

All applicants must reside in the Wetaskiwin RCMP City and Rural Detachment area, be at least 18 years of age, be a Canadian Citizen or landed immigrant, have a valid Alberta Driver's license with a good record, and pass extensive screening.

Personal Information
Name (First, Middle, Last)
Maiden Name
Date of Birth (YYYY / MM / DD)
Full Mailing Address
Street Address (if different)
Home Phone
Work Phone
Cell Phone
Email Address
Driver's License Number
References May include employers, volunteer supervisors, friends, co-workers and relatives. Please provide at least three references. Inability to contact references may preclude you from successfully completing the application process. Please include your affiliation or relationship to each reference.
Name
Address
Day Phone
Relationship
Name
Address
Day Phone
Relationship
Name
Address
Day Phone
Relationship
Detailed Information
Education Qualifications
Why do you want to be a Victim Services Volunteer Advocate?
What skills do you bring?
How did you hear about Victim Services?
Please list organizations and associations you are currently involved with:
Are you legally entitled to work in Canada?	Yes No
Have you ever been convicted of an offence in violation of the Criminal code of Canada for which you have not been pardoned?	Yes No
May we contact your past and present employer/supervisors?	Yes No
Screening: May the Royal Canadian Mounted Police and Wetaskiwin and District Victim Services Society conduct a criminal records check, background checks, driver’s abstract check and RCMP Enhanced Reliability Security Check?
I hereby give permission to the Royal Canadian Mounted Police and Wetaskiwin and District Victim Services Society to conduct a criminal records check, driver’s abstract check and RCMP Enhanced Security Check. I understand these checks cannot be conducted against my will, and I also grant permission to provide information such as maiden name, previous addresses, and other information for the sole purpose of the criminal history check. I also understand that this is only for background screening for Volunteer Advocate applicants, and will not be used or disseminated outside these boundaries. Should the enhanced security check disclose that I have been convicted of criminal offenses within the Criminal Code of Canada for which I have not received a pardon, my application will not be processed any further, or if my driving abstract should not be clear I may not be processed further.
I accept and agree with the statement above	Yes No

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