Required fields are marked with asterisks (*)

Loft Ambassador Application
Youth Division – Community Services Department



Thank you for your interest in the Loft Ambassador program! Please take some time to complete the application below. Parent/guardian signatures will be required.

Please note that capacity for the Loft Ambassador program is limited. Loft Ambassadors can volunteer for two hours per shift, up to two times per month. All applicants will be subject to a selection process. Successful Loft Ambassador applicants will be contacted by staff to arrange a training and orientation. Please allow 1 week for a response after submitting an application. If you have any questions, please email

Section 1: Personal Information, Emergency Contacts &Volunteer Medical Information

Emergency Contacts



Volunteer Medical Information



Are you have any needs that staff should be aware of? E.g. medical, physical, emotional, behavioural, social.
Do you have allergies?
Do you require an EpiPen/Auto Injector for allergic reactions?
Are you currently taking any medications that you will be required to take during volunteer placement hours?