All forms are PDF fillable versions. Please send your filled out form to the LG Youth Mentoring email. For more questions, please contact us via our contact page. 

The following terms and conditions govern all use of the LegacyGrandparents.ca website and all content, services and products available at or through the website. The website is owned and operated by Legacy Grandparents, a subdivision of The Help My Neighbour Society.

By submitting my application, I understand that the Help My Neighbour Society will not be bound to pursue my application, should they find me to be an unfit candidate. Further, I understand the Society’s commitment to a safe environment for all involved parties, and will conduct myself in a manner honoring this code, regardless of the status of my application. 

Further, I understand that the Society reserves the right to withdraw my participation in Legacy Grandparents at any time, if they believe me to be in violation of these terms. Subsequently, I understand that the Society reserves the right to remove members from their program(s) as they see fit. 

To Whom It May Concern:

Hello from the team at Legacy Grandparents/ Help My Neighbour Society. We are a registered Non-Profit Lower Mainland community society committed to ‘bridging and enriching generations’ through our various volunteer programs. 

As we match volunteers with youth and young adults ages 13-29 in our Mentoring program, it is essential that we request our volunteers undergo and provide a recent Police Criminal Record Check including the vulnerable sector.

Please be advised that_____________is applying to our program as a Legacy Grandparent. As a member of our team of volunteers, they are likely to come in contact with youth under the age of 18 years through our various programs, activities and community events. Therefore, we request you provide their individual Police Record Check including the vulnerable sector, so that upon clearance, we may consider them for our program(s).

Thank-you for your cooperation and support of our programs.

Sincerely,

Legacy Grandparents Program Manager

I hereby authorize Legacy Grandparents/Help My Neighbour Society (HMNS) to contact any or all of the references listed herein for the purposes of processing my application to become a volunteer in the Society’s program. I understand that these references will be contacted in confidence.

I further authorize any individuals, firms, corporations, government or other regulatory departments, and Police Department or other organization to release information and copies of documents pertaining to myself to Legacy Grandparents/HMNS in order to consider my application to volunteer in the Society’s program, on the understanding that such information will be held in strict confidence.

I acknowledge and accept that this application does not guarantee acceptance into the program, and that Legacy Grandparents/HMNS is under no obligation to accept or assign me as a volunteer in their program, and is not obliged to provide a reason.

I give permission to Legacy Grandparents/HMNS to release pertinent information regarding my file to the parent of the youth and/or the young adult in the process of match selection. 

Further, I agree to allow my file to be viewed by an Agency Reviewer for Legacy Grandparents/HMNS, at the time of the agency review, should it be requested.

I understand this application and subsequent information in my file is the property of Legacy Grandparents/HMNS.

The implications of the waiver have been explained to me. I understand and consent to them. 

I further agree this waiver is made of my own free will and without distress.

Signature of Applicant: _________________

Printed Name:_________________

Date:_________________