Date of Application: ___________________________

Name:

Last ________________ First ________________ Middle ________________

Street Address __________________________________

Province _______________ Postal Code _______________

Telephone:

Residence ____________________ Business/Work ____________________

Fax ____________________ Email __________________________________

If we are unable to place you in a volunteer position in the near future, how long would you like us to keep this application on file?

1 Month ___ 3 Months ___ 6 Months ___ 1 Year ___

In what capacity would you like to volunteer?

_____ AIDS Awareness Week _____ World AIDS Day
_____ AIDS Walk for Life _____ Community Outreach
_____ Board Member _____ Ticket Selling
_____ Poster Making _____ Preparing Ribbons
_____ Setting up displays _____ Public Relations
_____ Clerical

AVAILABILITY:
When are you available to volunteer ? Specify what day(s) and a time frame.

DAY: TIME:
_____ Monday _____ Morning
_____ Tuesday _____ Afternoon
_____ Wednesday _____ Evening
_____ Thursday
_____ Friday
_____ Saturday
_____ Sunday

 

 

List specific hours if necessary:
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Please describe related work experience:
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Please print and mail your completed Volunteer Application Form to:

ACWN
AIDS Committee of Western Newfoundland, Inc.
P.O. Box 303
Corner Brook, NF A2H 6C9