Volunteer Interest Form

Volunteer Interest Form
Thank you for your interest in volunteering with Community Care! Please complete the form below so that we are able to get a sense of your interests. Once you submit your confidential application form, you may be contacted for an interview with a Community Care Staff member. Please be sure to check your spam / junk mail for an email from us.

We look forward to connecting with you to see how we can work together to best serve our clients.

Community Care Peterborough - 705-742-7067 volunteer@commcareptbo.org
Name*

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is the office you live closest to?

Apsley OfficeBuckhorn OfficeChemung / Ennismore OfficeHavelock OfficeLakefield OfficeMillbrook OfficeNorwood OfficePeterborough OfficeUnsure of Closest Office
Apsley: I am interested in: (Select all that apply)*

Grocery Shopping and DriverMeals on WheelsMedical Equipment ProgramNew to You StoreOffice SupportTransportation - DriverZoom and Technical Support VolunteerOther
Buckhorn: I am interested in: (Select all that apply)*

Blood Pressure ClinicDiners' ClubFundraising - Bottle Drive VolunteerOffice SupportShopping BuddyTelephone Reassurance - CallerTransportation - DriverOther
Chemung: I am interested in: (Select all that apply)*

Blood Pressure ClinicFundraisingNew to You StoreOffice SupportTransportation - DriverOther
Havelock: I am interested in: (Select all that apply)*

Community ChampionCommunity Outreach SupportDiners' ClubFoot ClinicFundraisingMeals on WheelsMedical Equipment ProgramNew to You StoreOffice SupportTelephone Reassurance - CallerTransportation - DriverWellness/Fitness AssistantOther
Lakefield: I am interested in: (Select all that apply)*

AttendantBlood Pressure ClinicCommunity ChampionCommunity Outreach SupportDiners' ClubFriendly VisitingFundraisingGrocery ShoppingMeals on WheelsMedical Equipment ProgramOffice Support - StudentOffice SupportShopping BuddySpeakers BureauTelephone Reassurance - CallerTransportation - DriverWellness/Fitness AssistantZoom and Technical Support VolunteerOther
Millbrook: I am interested in: (Select all that apply)*

Blood Pressure ClinicDiners' ClubFriendly VisitingFundraisingGrocery Shopping and DeliverMeals on WheelsOffice SupportTelephone Reassurance - CallerTransportation - DriverWellness/Fitness AssistantZoom and Technical Support VolunteerOther
Norwood: I am interested in: (Select all that apply)*

Blood Pressure ClinicDiners' ClubFoot ClinicFundraisingOffice SupportTransportation - DriverOther
Peterborough: I am interested in: (Select all that apply)*

Blood Pressure ClinicFoot ClinicFriendly VisitingFundraisingGrocery Shopping and DeliverMeals on WheelsTelephone Reassurance - CallerTransportation - DriverZoom and Technical Support VolunteerOffice SupportOther
Other comments:
If there is a suitable Volunteer position in the office closest to you we will reach out to you as soon as possible. Please check your spam / junk mail in case it ends up there. Thank you for applying to volunteer with Community Care Peterborough!
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