United Way of Haldimand & Norfolk Volunteer Form
RequiredRequired Question(s)

If you would like to become involved with the United Way Haldimand and Nofolk by becoming a volunteer, please complete the following form.

 
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Job Title:
Company Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

Required 2.

Please indicate your areas of interest (Select all that apply) 

Board Member
Committee Member
Workplace Champion
Stuff the Bus
Day of Caring
Jail & Bail
  • Comment:

  • 500 characters left.
3.

List any special interests, training, skills and hobbies:

 

50 characters left.
4.

Tell us about any past or present volunteering you do or have done.

 

50 characters left.
5.

I would like to volunteer with United Way because...

 

50 characters left.
6.

Indicate days and times when you are available: (select all that apply)

weekends
weekdays during the day
weekdays during the evenings
Other  
  • Comment:

  • 500 characters left.
7.

I am willing to have a criminal check in order to volunteer.

Yes
No
Thanks for connecting with us! We'll be in touch soon.