Volunteer Contact Information Form
This form will be used for the purpose of contacting volunteer applicants. Information provided will be kept confidential.
Please select categories of current interest
Doctors, Obstetrics, Nurses, Therapists, Trauma Treatment Specialists
Burn Care Practitioners, Wound Care Practitioners, Reconstructive Surgeons, Social Workers, Discharge Planning, Professional Development Trainers, Policies Procedures and Treatment Update Materials
Midwifery & Delivery Nurses, Certified Nursing Educators, Trainers in Fetal Monitoring, Difficult Deliveries and Resuscitation, Program Development in Under-equipped Institutions
Disabled & Underprivileged Children Program Development and Evaluators, Children After School Programs, Music Teachers, Recreational Programs and Equipment
Governance and Administration Skill sets, Strategic and Program Planning Experts, Evaluation and Implementation Tools
Communications and Marketing Experts, Graphic Communications, Website Management, Social Media Presence Manager
In what areas do you see yourself effectively contributing?
Please note in order of strongest experience related to the selected categories
Please state any professional designations, current formal areas of expertise, publications, current affiliations or employer, and areas of interest within our organization.
Are you a full-time student?
On an average would you be able to participate at least than 1 hour per month outside of meetings and programs?
Participation will be done primilary by email or phone for ongoing decision making and discussion in regard to matters that may emerg in-between meetings
We have charity programs outside of Canada, would you be willing to participate in the programs in the field?
Yes, I will be willing to participate in programs in the field, outside of Canada
No, I would like to volunteer for programs only in Canada
No, I would like to volunteer in non-program areas such as fundraising, management or governance areas within Canada
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