The AIDS Committee of Western Newfoundland Inc. (ACWN) is a hard-working, volunteer group, dedicated to increasing awareness of HIV and AIDS in our region and assisting people whose lives have been affected by the virus.

Volunteer Application Form

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Email Form:

Date of Application:

Last Name

First Name

Middle Name / Initial

Street Address

Province

Postal Code

Telephone

Home

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? (Select all that apply, but at least one)

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. (Select all that apply, but at least one from each column)

DAY: TIME:

Monday	Morning
Tuesday	Afternoon
Wednesday	Evening
Thursday
Friday
Saturday
Sunday

List specific hours if necessary:

Please describe related work experience:

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