Office Hours:
Monday - Friday 10:30am-6pm
     
     
Resources Volunteer Program :
   

Online Registration

* Required Fields

Contact Information

Ms     Mrs     Mr     Dr

First Name:

*

Middle Name:

Last Name:

*

Mailing Address:

*

Apt:

City:

*

Province:

*

Postal Code:

*

Email:

*

Home Phone:

( ) -

Work Phone:

( ) -

Mobile Phone:

( ) -

May we send mail to the above address? Yes     No    *

May we leave a message stating we are from ACAS to the above phone numbers?

Home:

Yes 

No

Work:

Yes 

No

Mobile:

Yes

No

How did you hear about ACAS and our volunteer program?

ACAS Website

ACAS publications

ACAS events

Friends

Advertisements

Radio

Outreach/flyers

Newspapers

Others

Volunteer Centre

Service/health care provider

Why do you want to volunteer at ACAS? *

Language skills:

English

spoken

written

read

Relevant East Asian and/or South East Asian languages:

spoken

written

read

spoken

written

read

spoken

written

read

Education History (please list highest level completed)

Institution

Program

Date

Employment History

Company

Position

Date

Volunteer History

Organization

Position

Date

Volunteer Areas you are interested in: *

Education & Outreach - MSM Bar Outreach

Support - PHA Support

Education & Outreach - MSM Bathhouse Outreach

Support - PHA Event Planner

Education & Outreach - Internet Outreach

Support - PHA Health & Wellness/Holistic Health Therapy

Education & Outreach - Youth Outreach

Support - PHA Public Speaker

Education & Outreach - Women's Outreach

Support - PHA Language Interpreter

Education & Outreach - Transgendered/Transsexual Outreach

Fundraising Events - Walk for Life, Dinner Events

Office Administration/Reception

Special Events - Dyke March, Gay Pride Parade, AGM, Memorial Events

Translator/Interpreter

Research

Website Design & Maintenance

Board of Directors

Computer Graphic Design

Program Planning

Internet & Media Reviewer/Watchdog

 

Others - Please Specify:

Please specify skills you would like to provide: *

Administrative / Reception

Driving / transportation

Public speaking

Adult/youth education

Editing / proofreading

Research

Communication

Facilitation - workshops

Special events planning

Computer graphic design

Fundraising

Translation / interpreter

Counseling

HIV/AIDS peer support

Website design/maintainance

Data entry

Holistic health therapy - massage, reiki, shiatsu

Writing / report writing

Desktop publishing

Housekeeping/meal preparation

 

Other skills:

Availability: *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

am

am

am

am

am

am

am

pm

pm

pm

pm

pm

pm

pm

evening

evening

evening

evening

evening

evening

evening

ACAS requires a commitment for a period of 6 months. Are you able to make a commitment of at least 6 months? Yes     No

References: *

Please provide two references of individuals who are not related to you. We would prefer if one of the names were a supervisor from a recent volunteer or employment position.

1. Name: Phone Number:
2. Name: Phone Number:

Emergency Contact: *

Name: Phone Number:
Address:
Relation:

 

Updated: July 2006
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