Virtual Volunteer Information Form Kitchener
Please fill out this form if you’re interested in becoming an Adults in Motion volunteer or placement student At this time all volunteer/placement opportunities are VIRTUAL due to COVID-19 safety. Your role as a virtual volunteer would be to plan, facilitate and host at least one weekly 45 minute virtual session for on-line participants. Training and support will be provided as well as the session topic which will be geared to your interests. You will need to have basic tech skills for zoom and be capable of creating a fun, inclusive and interesting on-line environment. Any questions, please call or email us at (519)-577-3723 or
volunteerkitch@adultsinmotion.org
. Thank you!
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First Name
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Last Name
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Date of Birth
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Address
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City
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Phone Number
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Email Address
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Emergency Contact Name
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Emergency Contact Number
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What Is Their Relationship To You?
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Any Allergies or Health Concerns?
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Employer/School
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