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VOLUNTEER REGISTRATION FORM
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First Name:
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Your answer
Last Name:
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Your answer
Date of Birth:
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DD
/
YYYY
Gender:
*
Choose
Female
Male
Non-binary
Email Address:
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Your answer
Cell Phone Number:
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Your answer
Other Phone number:
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Address:
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Your answer
City:
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Your answer
Postal Code:
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Your answer
First Language:
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English
Arabic
Amharic
Burmese
Chinese
Dari
French
Hindi
Kurdish
Somali
Spanish
Swahili
Tamil
Tigrinya
Urdu
Vietnamese
Rohingya
Farsi
Other:
Required
Other languages spoken fluently:
Your answer
How did you hear about the volunteer programs at Reception House?
Volunteer Fair / Public Event
Presentation
Poster or Flyer
Called or Visited our office
Reception House staff
Another volunteer
Volunteer Action Centre
Website
Social Media
Other (please specify):
Have you ever been convicted of an offence under the Youth Criminal Justice Act or adult law?
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Yes
No
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