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Speakers Bureau Volunteer Application

Your Information

Name

First Name

Last Name

Job Title / Position

Your title, retired, student, etc

Employer

If multiple, list your most primary employer/business in this field

Employer Website (URL)

Email

Alternate Email

Primary Daytime Phone

Cell Phone

To reach you in the event of last minute changes

LinkedIn Profile URL

Twitter Profile URL

Facebook Profile URL

Instagram Profile URL

Hidden fields

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Career Information

Select the fields most relevant to your work

Admin/BusinessAerospace/AviationAgriculture/Food ProductionBuilding/ConstructionCatering/HospitalityChildcareDesign/ArtsEducation/TrainingEmergency ServicesEnergy/UtilitiesEngineeringEnvironmentFinancial/Insurance/BankingGovernmentHealthcareIT/ComputersLanguages/CultureLegalLeisure/Sports/TourismManufacturing/ProductionMarketing/AdvertisingMedia/Print/PublishingNot for ProfitPerforming Arts/EntertainmentPersonal/Other ServicesPR/CommunicationsRetail/Customer ServiceScienceSecurity/Armed ForcesSocial Work/Counselling TelecommunicationsTransportation/LogisticsSelect any that apply

Select the school subjects most relevant to your career

ArtsBusinessCanadian and World StudiesComputer StudiesEnglishGuidance and Career EducationHealth and Physical EducationMathematicsScienceSocial Sciences and HumanitiesTechnological EducationSelect any that apply

How would you describe your job to a student in the 8th grade?

Limit to 32000 characters

Describe your career path from high school to now

Limit to 32000 characters

What advice would you give to young people who are making decisions about their future careers?

Limit to 32000 characters

Alumni Information

Are you an alumni of any local high schools?

Did you participate in any of these programs in high school?

Co-operative EducationSpecialist High Skills Major (SHSM)Ontario Youth Apprenticeship Program (OYAP)Select any that apply

What post-secondary pathway(s) did you pursue after high school?

ApprenticeshipCollegeUniversityWorkplace trainingCheck any that apply

Are you an alumni of any local post-secondary institutions?

Conestoga CollegeUniversity of WaterlooWilfrid Laurier UniversitySelect any that apply

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Volunteer Information

What grade levels do you prefer to volunteer with?

Grades 7-8Grades 9-12

Where are you willing to volunteer?

Online/virtuallyCambridgeKitchenerNorth DumfriesWaterlooWellesleyWilmotWoolwich*Note: in-person volunteering will only continue when deemed safe by public health authorities; if you are interested in in-person volunteering when that time comes, please select the relevant locations now.

Are you willing to present in languages other than English (for example, for French language or ESL classes)? If so, select any applicable languages you speak.

Afar	Amharic	Arabic
Burmese	Cantonese	French
Gujarati	Hindi	Korean
Kurdish	Mandarin	Persian (Farsi)
Portuguese	Punjabi	Rohingya
Russian	Serbo-Croat-Bosnian	Spanish
Swahili	Tagalog	Tigrinya
Turkish	Urdu	Vietnamese
Other

Why do you want to get involved with the BEP?

Limit to 32000 characters

What other activities would you be potentially willing to support upon request?

Delivering subject area workshops/presentationsJudging student competitions in areas of expertiseMentoring student projects in areas of expertiseCoaching for mock interviews and resume preparationBeing a subject for informational interviews by studentsWorkplace tours (virtual or in-person)Work-integrated projects/challengesJob shadow opportunitiesVirtual coop placementsIn-person coop placementsSelect any that apply

Please list any workshop/presentation topics would you be prepared to deliver

Separate items with a comma; max length 255 characters

What other expertise would you potentially be willing to contribute to the BEP as a volunteer?

Accounting/FinanceBoard GovernanceCommunications and MarketingDatabase/CRM AdministrationEvent ManagementFundraisingGraphic DesignHuman ResourcesProgram Design and EvaluationStrategic and Operational PlanningTraining/FacilitationVideographyVolunteer CoordinationSelect any that apply

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Demographic Information

We know representation matters in career exploration. Therefore, we collect demographic information to ensure our Speakers Bureau reflects the community we serve and to effectively match groups with specific volunteers. All of the following questions are optional. Please provide as much or as little information about yourself as you wish.

Which category or categories best describe you? Select all that apply.

Black (i.e. African, African-Caribbean/Black Caribbean, African Canadian, other Black identified descent) East Asian (i.e. Chinese, Korean, Japanese, Taiwanese, other East Asian descent)Indigenous (i.e. First Nations, Metis, Inuit)Latino/Latina/Latinx (i.e. Latin American, Hispanic, other Latinx descent)Middle Eastern/North African/West Asian (i.e. Afghan, Algerian, Arab, Egyptian, Iranian, Israeli, Kurdish, Lebanese, Persian, Syrian, Turkish, other Middle Eastern/North African/West Asian descent)Southeast Asian (i.e. Cambodian, Filipino, Indonesian, Thai, Vietnamese, other Southeast Asian descent)South Asian (i.e. East Indian, Pakistani, Bangladeshi, Sri Lankan, Indo-Caribbean, other South Asian descent) White (i.e. European descent, other white identified descent)

Did you immigrate to Canada?

No, I was born in CanadaYes, I moved to Canada when I was 17 years old or youngerYes, I moved to Canada when I was 18 years old or older

What is your gender identity? Select all that apply.

FemaleMaleNonbinaryTrans FemaleTrans MaleTwo-Spirit

What is your sexual orientation? Select all that apply.

Asexual Bisexual GayHeterosexual LesbianPansexual QueerTwo-Spirit

Do you have one or more disabilities that you would be open to speaking about while volunteering (e.g. with young people who may share similar disabilities?) If so, please list your disability or disabilities.

Limit 255 characters

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Additional Information

How did you hear about us?

I am a returning volunteerReferred by a BEP volunteer An educator who uses this serviceContacted directlyEvent or conferenceInternet searchMedia articleMy employer / schoolProfessional association/Chamber of CommercePrint promotional materialSocial mediaVolunteer Action CentreSelect any that apply

Would you like to subscribe to the BEP newsletter?

Yes

I consent to sharing my volunteer participation with my employer.

Yes

Would you like to be included in the Career Profiles section of our website?

YesYour career profile would include your name, title, employer name and website, job description, areas of expertise, most relevant school subjects, career story/advice, post-secondary pathways, languages and, optionally, a photo. This will allow educators to see who they can request to speak to their class, as well as serving as an educational resource for students.

I agree to the Program Terms and Conditions.

Yes

After submitting your application, you will be redirected to Calendly to book a virtual call with our staff. The purpose of this call is to exchange more information about you, the program and its expectations. This link will also be emailed to you.

Optionally, include a photo to include on your career profile.

This field only accepts the following file formats: .bmp, .gif, .jpg, .jpeg, .png, .tif, .qtf. Vertical orientation is recommended. It is a bonus if the photo helps show what you do (e.g. shows you at work, in work uniform, etc.) You can also email a photo later if preferred.

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