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Full name
*
Your answer
Home address
*
Your answer
Postal code
Your answer
Why do you want to volunteer at Mont-Libre?
Your answer
What kind of workshop.s would you like to lead? What kind of skill/topic/type of work can you offer children?
Your answer
Pronoun that you would like us to use when referring to you
*
She/her/hers
He/his/him
They/them/theirs
Phone number
*
Your answer
Email
*
Your answer
Are you a student? If so, in what field?
Your answer
Are you a non-student? If so, where do you work or how do you spend your time?
Your answer
Have you ever been accused or convicted of a sex crime?
*
Yes
No
Have you ever been accused or convicted of a crime involving the abuse or the corruption of a minor?
*
Yes
No
I understand that Mont-Libre may want to perform a criminal background check on anyone that is invited to volunteer.
I authorize Mont-Libre to perform a criminal background check in the case they decide to do so.
I do not authorize Mont-Libre to perform a criminal background check.
Emergency contact name
*
Your answer
Emergency contact phone number
*
Your answer
Name and number for the 1st reference
*
Your answer
Name and number for a second reference
Your answer
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