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Become a volunteer

* Required information

Your Personal Details

Gender *
Firstname *
Lastname *
Date of birth
* (ex. 1970-05-21)
Email address *

Your contact details

Address *
Suite
Postal code
City *
Province *
Country
Work phone *
Telephone
Cellular
ignorer

Volunteer's profil

Type(s) of volunteering desired *
  Administrative tasks    Manual work
  Communication/Animation    Selling a product
  Steering Committee    Meals on Wheels
  Transport support   Visit
   Sewing/crafts   Cooking
   Various support
Availability - Month of the year *
  January   February
  March   April
  May   June
  July   August
  September   October
  November   December
Availability - Days of the week *
  Monday   Tuesday
  Wednesday   Thursday
  Friday   Saturday
  Sunday
Time slots *
   Before noon    Afternoon
   Evening    Night
Specific schedule
Other type(s) of volunteering

CONFIDENTIALITY OF YOUR PERSONAL INFORMATIONS

The Volunteer action center Ascension Escuminac is committed to ensuring the confidentiality of your personal information.

If you are referred to another organization, do you authorize the Volunteer action center Ascension Escuminac to send the information collected during the orientation process.
  I agree   I disagree