Volunteer Sign up

Funding innovative research for a global cure.

Volunteer Sign Up

First Name*
Last Name*
Email*
Re-Enter Email*
Phone Number*
Cell Phone (optional)
City*
Province / State*
Country*
Postal code / Zip Code*
What is your preferred way to be contacted?
	Email
	Home Phone
	Cell Phone
When is the best time to contact you?*
Emergency Contact
First Name*
Last Name*
Home Phone*
Cell Phone (Optional)
Relationship
Background
Educational Background
Please describe any previous work or volunteer experience that would relate to volunteering with ADF
Are there any health problems or physical limitations that we should be aware of?
Are there any allergies that we should be aware of?
Language(s)spoken
Do you have access to a vehicle?
	No
	Yes
	Occasionally
Do you have a criminal record?
	No
	Yes
Is there a particular type of volunteer work in which you are interested in ?
	General Administrative Support
	Special Events
	Newsletter Reporting
	Newsletter Production
	Web Advisor/Researcher
	Virtual Volunteer
	No Preference
Other
*Is there a particular committee in which you would be interested in working on?
	CSF Freedom Run
	"A Night to Remember" Gala & Auction
	Sean Fleming Golf Classic
	Jeans & Jersey Dinner and Auction
Other
At what times are you interested in volunteering?
	I am Flexible
	Prefer Weekdays
	Prefer Evenings
	Prefer Weekends
Days/Times NOT available
How did you hear about us?
	TV
	Paper
	Internet
	ADF Website
	Radio
	Media Signs
	Referred by Friend/Volunteer
Other

I confirm that the information I have provided above is trueful to the best of my understand. I hereby give permission to the Alberta Diabetes Foundation to retain information regarding my previous employment, education and/or volunteer background.
	Yes
	No
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Volunteer Sign Up

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