Volunteer Application Form

PERSONAL INFORMATION

Full Name

Which most closely describes your gender?
WomanManTransgender WomanTransgender ManNon-BinaryAgender/I don't identify with any genderPrefer not to say

Address

Phone No.

Email

Age Category:
18-2526-6565+

In case of emergency, please call:

Are you a student?
YesNo

Are you here for a limited time?
YesNo
*Please note that all of our programs require a one year commitment

If yes, please specify:

Do you consent to having your email added to internal Communication lists? (Includes our Volunteer eNewsletter, Agency-wide Event Invitations and Fundraising)
YesNo

SKILLS

Languages Spoken: (please include fluency)

Languages Written: (please include fluency)

Computer Skills:
ExpertAdvancedIntermediateNoviceFundamental AwarenessNot Applicable
Please specify programs

Article Writing:
ExpertAdvancedIntermediateNoviceFundamental AwarenessNot Applicable

Recreational Skills:
CraftsCards/GamesArtBridgeMusicExerciseDigital ArtsOther

Fundraising and PR Skills:
Researching potential grantsWriting proposalsSelling advertising spaceOther

Personal Background (work and volunteer experience, plus any community involvement):
0 / 750 characters

Desired Position:
Outreach ProgramArtCreative WritingCommittee MemberMusicCommunication FacilitatorAdministrationOther

Please indicate the day(s)/time(s) you are available so that we can try to match your interests with the times of our programs:

I am available to volunteer:
OnlineOn-Site

To provide our members with the best service we try to place our volunteers where they will be most comfortable. Please tell us if there is anything in your personal or professional background that we should take into account in this regard, e.g. personal experience with stroke in the family

Where did you hear about us?
Volunteer TorontoRadioLibraryNewspaperPlace of WorshipSchoolFriendPresentationWebsiteLinkedInInternet (other)Other

What motivated you to apply to the Aphasia Institute for volunteer work?