Date of Application: ___________________________
Name:
Last ________________ First ________________ Middle ________________
Street Address __________________________________
Province _______________ Postal Code _______________
Telephone:
Residence ____________________ Business/Work ____________________
Fax ____________________ Email __________________________________
If we are unable to place you in a volunteer position in the near future, how long would you like us to keep this application on file?
1 Month ___ 3 Months ___ 6 Months ___ 1 Year ___
_____ AIDS Awareness Week | _____ World AIDS Day | ||||||
_____ AIDS Walk for Life | _____ Community Outreach | ||||||
_____ Board Member | _____ Ticket Selling | ||||||
_____ Poster Making | _____ Preparing Ribbons | ||||||
_____ Setting up displays | _____ Public Relations | ||||||
_____ Clerical |
DAY: | TIME: | ||||||
_____ Monday | _____ Morning | ||||||
_____ Tuesday | _____ Afternoon | ||||||
_____ Wednesday | _____ Evening | ||||||
_____ Thursday | |||||||
_____ Friday | |||||||
_____ Saturday | |||||||
_____ Sunday |
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Please print and mail your completed Volunteer Application Form to:
ACWN
AIDS Committee of Western Newfoundland, Inc.
P.O. Box 303
Corner Brook, NF A2H 6C9