Volunteer Application Form

Fields marked with a * are required.

Please complete the following form if you are interested in volunteering as a Circles Ally Volunteer. The information on this form will be used to process your volunteer application.

Contact Information

Emergency contact

Language Spoken

Volunteer Role Types

Acknowledgements

The information on this form is being collected for volunteer placement purposes in compliance with the Municipal Freedom of Information and Protection of Privacy Act. If you have any questions regarding the collection and use of this information, please contact the Privacy Officer at 705.522.9200.

The Sudbury & District Health Unit is committed to an inclusive and barrier-free selection process. If you require accommodation please notify us and we will work with you to meet your needs. For an alternate format of this document, please contact equity@phsd.ca.


This item was last modified on November 16, 2017