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CC19 Volunteer Application Form

On behalf of CanConnect19, thank you so much for your interest in applying for a volunteer position with CanConnect19. We know that those with an interest in being a volunteer have many choices. In our community, there are an array of remarkable organizations engaged in the important work of making our world a better place. We are humbled knowing that you are interested in serving Covid vaccine injured Canadians.

The following application offers us an opportunity to know more about you, your skills, attributes and what you would bring to CanConnect19. It also gives you a sense of what matters as a volunteer.

The goal of our application process is to determine if we are a good fit for each other – your level of commitment and ability to deliver on expectations so that we are confident that you can help us to increase the scope and impact of our work. On the other side, we want to know what motivates you and what you know about our organization, or vaccine injury, so that we can help to create an excellent experience for you.

Thank you again for your interest in our work and for taking the time to complete this application with thought and care. We look forward to reviewing it with that same level of thought and care and to continuing our conversations.

Personal Information

Name

Phone Number

Address

Province

Preferred Method of Contact

Work

Mobile

Home

CanConnect19 volunteer roles are remote as we have volunteers across Canada. It is important that you have telephone and computer access and skills.

Employer Information

Employer Name

Employer Address

Select All Areas of Volunteer Interest

Volunteer Areas of Interest

Leadership Opportunities CanConnect19 is an organization with 2 very distinct roles, Governance and Operations. As a volunteer, please note that you must be a registered and active member of CanConnect19. Register at www.canconnect19.ca.

Your Volunteer Needs & Availability

How many hours per week are you available to volunteer?

Are you a COVID-vaccine injured Canadian?

Vaccine Injured?

Yes

Your Volunteer Needs

Please use this section to tell us why you are interested in volunteering for CanConnect19, which is focused on delivering programs to support Covid vaccine injured Canadians. We realize that not every volunteer wants to commit to a role that mirrors their work life. You may wish to explore other talents you have. Please identify your skill sets and what volunteer capacity you would like to deliver to benefit those we serve.

Volunteer Experience

Please enter your volunteer experiences in the expandable section below, including length of time in volunteer positions and roles for up to 3 positions, (maximum). Enter or attach references with contact information below.