PERSONAL INFORMATION Full Name Title Dr.Mr.Mrs.MissMs. 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: Some of our volunteers find it useful to be able to get in touch with other volunteers. May we include your telephone number in our Volunteer Telephone Directory? 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: Day Availability Monday MorningAfternoon Tuesday MorningAfternoon Wednesday MorningAfternoon Thrusday MorningAfternoon Friday MorningAfternoon 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?