Volunteer Application - Acclaim Health

Contact Information

Name *

First Last

Email *

Main Phone *

Other Phone, please specify:

Address *

Street Address Address Line 2 City Province / State Postal / Zip Code Country

Program Choices

Community *

I can volunteer in the following communities:

Burlington
Halton Hills
Milton
Oakville

Availability *

I am available to volunteer:

Weekday Mornings
Weekday Afternoons
Weekends

Transportation *

Some of our programs require transportation. Do you have access to a vehicle?

Volunteer Experience

Current Volunteer Positions

Please list role and organization:

Past Volunteer Positions

Please list role and organization:

Work Experience

Current Work Positions

Please list role and organization.

Past Work Positions

Please list roles and organizations.

Skills and Abilities

What languages do you speak?

What are your interests, special skills and abilities?

Other Information

Your Resume

Please upload your resume here. If you don't have it ready, don't worry! You can provide it at a later date.

Drop files here or

Have you been referred by an Acclaim Health volunteer or staff member?

If so, please provide their name so we can thank them.

Permissions

Permission to Email

I agree

Email is the main form of communication with our volunteers and it's how you will find out about upcoming workshops, events and major news regarding the organization. You can unsubscribe at any time, but this may result in you missing out on important stuff.

Permission to Submit *

I agree

Acclaim Health is committed to individual privacy and has taken reasonable precautions to ensure the security of the information you are submitting through this online form. By clicking "I agree" you are acknowledging and accepting the potential risks inherent in submitting personal information and/or personal health information online. Please contact us by telephone at 905-827-8800 if you do not wish to submit this information online and we will be happy to assist you.

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Phone

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