Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Residency Status *

Canadian Citizen

Canadian Permanent Resident

Canadian Citizen

Foreign National

Commitment *

Less than 6 months

6 months to 1 year

On-Demand

Availability *

During which hours are you available for volunteer assignments?

Weekday mornings

Weekday afternoons

Weekday evenings

Weekend mornings

Weekend afternoons

Weekend evenings

Interests *

Tell us in which areas you are interested in volunteering.

Administration

Events

Field work

Fundraising

Peer support

IT Project/Research

Non-IT Project/Research

Newsletter production

Volunteer coordination

Training/Facilitation

Presentations/Public Speaking

Can you provide a resume? *

Yes

No

Declaration *

Please click on checkbox to confirm.

By submitting this application, I affirm that the facts set forth in it are true and complete.

I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Date

MM

DD

YYYY

Submission *

By selecting the - I Confirm and Submit - checkbox below, you are signing this Volunteer Application electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Membership Application.

I Confirm and Submit.

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Date of Birth *

MM

DD

YYYY

Residency Status *

Canadian Citizen

Canadian Permanent Resident

Canadian Other

Foreign National

Can you provide a resume? *

Yes

No

Privacy Notice

Pursuant to PIPEDA (Personal Information and Electronic Documents Act), My Women Support collects the personal information contained in this form solely for administrative purposes related to this application and at no time discloses information to unauthorized parties. Your contact information will remain on a secure internal database. From time to time My Women Support offers community services to members, some of which require your explicit permission. If you do not wish your personal information used for the following purposes, please select the appropriate boxes below. Please note, you may change this at any time by contacting My Women Support directly.

I do not wish to have my contact information listed on My Women Support members' directory.

I do not wish to be contacted with volunteer opportunities or receive any news letter and other information email/notifications.

I do not wish to receive information from My Women Support program partners.

Declaration *

Please note: Your membership in My Women Support includes a commitment to abide by the letter and the spirit of the My Women Support Code of Conduct, as follows:

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a member, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

As a member of My Women Support, I will obey all rules, regulations and policies as communicated and announced by the Management of My Women Support.

I further pledge to conduct myself in a manner which reflects favorably on the goals and operations of our organization.

I understand that failure to comply with the preceding, whether formally prosecuted or not, may result in disciplinary action against me including expulsion from My Women Support.

Date

MM

DD

YYYY

Submission *

By selecting the - I Confirm and Submit - checkbox below, you are signing this Membership Application electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Membership Application.

I Confirm and Submit.