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Volunteer – Fundraising event, fundraising campaign, administrative support
Volunteer - Fundraising event, fundraising campaign, administrative support
I want to volunteer - Fundraising event, fundraising campaign, administrative support
General Information
Name
*
First name
*
Date of birth
DD dash MM dash YYYY
Address
*
Apt.
City
*
Postal code
*
Telephone
*
Home
Telephone
Work
Telephone
other
Email
*
Fax
Occupation
If retired, previous occupation
Person to contact in case of an emergency
Name
First Name
Telephone
Languages
French
Spoken
Written
English
Spoken
Written
Other languages, please specify:
Your situation
Are you...
A parent or close relative of a child who has cancer?
Yes
No
If so, when was the child diagnosed with cancer?
MM slash DD slash YYYY
A parent or close relative of a child in remission?
Yes
No
If so, since when has the child been in remission?
MM slash DD slash YYYY
A parent or close relative of a child who died of cancer?
Yes
No
If so, when did the child pass away?
MM slash DD slash YYYY
Types of volunteering
Check mark the types of volunteering that interest you
Logistical support during fundraising events or fundraising campaigns
Administrative support (filing, preparation, tidying, mailings, phone calls, etc.)
Other (please specify):
Availability
Monday
Before noon
Afternoon
Evening
Tuesday
Before noon
Afternoon
Evening
Wednesday
Before noon
Afternoon
Evening
Thursday
Before noon
Afternoon
Evening
Friday
Before noon
Afternoon
Evening
Saturday
Before noon
Afternoon
Evening
Sunday
Before noon
Afternoon
Evening
Are there certain times of the year when you are unavailable?
Leucan and you
Are you a member of Leucan?
Yes
no
Are you or have you ever been a volunteer for Leucan?
Yes
No
If yes, for how long and in what type of activity?
What do you know about Leucan?
Have you successfully attended a course or had some training that may be useful in your work as a volunteer at Leucan? If so, please briefly describe (ex. professional or volunteer training).
Are you involved in activities outside of the home, work, or school? If so, what are these activities?
If you had to describe yourself, what would you say?
Is there something else you would like us to know about you?
Date
DD dash MM dash YYYY
Partners
All our partners
