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Volunteer Application
International Mine Rescue Competition 2016 Sudbury Ontario
International Mine Rescue Competition (IMRC) Canada 2016
First Name:
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Last Name
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Age
Home Address
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City
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Province
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Postal Code
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Phone Number
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Cell Phone Number
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Email
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If from out of town I have local Sudbury accommodations?
Do you have a valid driver licenses?
Do you have access to a vehicle?
Do you have valid First Aid/CPR Certification
Emergency Contact
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Emergency Contact Phone Number
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Please identify any physical or health restrictions
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Please identify any languages that you speak
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Do you have any previous experience with Mine Rescue Competitions
Do you have any affiliation with a local mining company or business
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Which of the following Volunteer Opportunities Interests you?
What is your availability?
anytime
morning 8am -12pm
afternoon 12-5pm
evening 5-9pm
Wednesday August 17th
Thursday August 18th
Friday August 19th
Saturday August 20th
Sunday August 21st
Monday August 22nd
Tuesday August 23rd
Wednesday August 24th
Thursday August 25th
Friday August 26th
I give my permission to Volunteer Sudbury to save my information for the purpose of contacting me for future volunteer opportunities
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