Volunteer applicationHome I want to help Volunteer Volunteer application Become a volunteerThank you for your interest in volunteering with ALS Quebec! We will keep your registration on file and contact you if there is a need that matches the details you have provided to us. We will keep your registration on file and contact you if there is a need that matches the details you have provided to us.General InformationFirst and Last Name(Required) First Last PronounsPlease choose oneElleSheThey/ThemI prefer to specify myselfPlease specify pronoun Address(Required) Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Daytime telephone number(Required)The daytime telephone number provided is my:(Required)Please choose oneCell phoneHome phoneWork phoneOtherPlease specify Email(Required) I prefer ALS Quebec contacts me by(Required)Daytime phone numberEmailLanguages spoken(Required) English French Other Specify other language spoken Preferred language of correspondence(Required)Please choose oneEnglishFrenchEitherProfileCurrent place of work/school(Required) How did you find out about ALS Quebec?(Required) Friends/Family Volunteer Bureau Internet Other Please specify In a few words, why are you interested in volunteering with ALS Quebec? Do you have a personal connection to ALS?(Required)Areas of interest (please check all that apply):(Required) Office work Fundraising events Support activities for people touched by ALS Committees/development Other Please specify Thank you for submitting your completed volunteer registration form. If you have any questions, we invite you to contact:Karim Rabbouhi514-725-2653 x1051-877-725-7725info@sla-quebec.ca
