Name

last name

Address

Postal Code

Phone

Mobile

e-mail

Birth date

Spoken languages Spoken languages French English Other

specify

In case of emergency contact:

What is your status? What is your status? Permanent resident Canadian Citizen Refugee Without status

Other (specify)

Work experience :

Volunteer Experience:

Do you volunteer now? Do you volunteer now? Yes No

Why do you want to volunteer at Afrique au Féminin?

How did you hear about Afrique au Féminin? How did you hear about Afrique au Féminin? Family Friends Organizations Other

What are your availabilities for volunteering? What are your availabilities for volunteering? Monday AM Monday PM Tuesday PM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM

How long are you going to be volunteer? How long are you going to be volunteer? 2 months 4 months 6 months 1 year More then 1 year

Hobbies, interests, talents?

Types of volunteering possible: Types of volunteering possible: Administration Reception and secretarial services Communication Childcare Social intervention Computer classes Food aid