Volunteer Application Form

Volunteer Application Form

Thank you for your interest in volunteering with Dyslexia Canada!
Contact Information
Name*

First NameLast Name
Phone number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Availability
I can commit to:*

Less than 2 hrs/week2-5 hrs/week5-10 hrs/week10+ hrs/week
Time of day (check all that apply)*

MorningMiddayAfternoonEvening
Days of the week (check all that apply)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Tell us about yourself
What area(s) interest you most? (check all that apply)*

FundraisingRaising awarenessTranslating/adapting English materials to French or another languageEvent planning / coordinationMark it Read campaign planning and support1:1 Family support navigating the education system
Languages spoken fluently*

EnglishFrenchBilingual (English & French)Other
Languages written fluently*

EnglishFrenchBilingual (English & French)Other
I am the parent or caregiver of a child with Dyslexia

YesNo
I identify as someone with dyslexia

YesNo
If you're applying as part of a volunteer program at your place of employment, please provide employer name:
If you are applying as part of a volunteer program at your work please tell us the name of the company.
Why would you like to volunteer with Dyslexia Canada?*
Please describe any relevant work, training or previous volunteer experience:*
How did you hear about Dyslexia Canada?*
Should be Empty:

Contact Information