Clone of Lessons of Love for Singles Workshop Registration

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

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Phone Number

Area Code

Phone Number

4

How did you hear about our organization?* This field is required.Social media, website, friend, etc.

5

Are you over 18 years old?* This field is required.

YESNO

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Tell us a little bit about yourself. What inspired you to want to volunteer for our organization?* This field is required.We are thankful for your interest to partner with us.

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Ways you would like to partner & collaborate with us as a volunteer?* This field is required.We are thankful for your interest to partner with us.

Outreach Support (English and/or French)

Outreach translator (English to French)

Program Facilitator translator (English to French)

Visual Program Designer (artists, musicians, game designer)

Parent & child Facilitator (therapist)

Arts-based activities facilitator

Study group facilitator (therapist)

Other(s)

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Number of hoursRoughly, how many hours would you be available to volunteer with us?

10

If you are a Brossard resident, please provide your B-citi number

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Today's Date* This field is required.

Date