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Become a volunteer

Thank you for your interest in getting involved as a volunteer. Please complete this form to help us get to know you better and to offer opportunities that match your interests.

* Required information

Your Personal Details

Nom *
Mot de passe *
Gender *
Firstname *
Lastname *
Email address *

Your contact details

Address *
Suite
Postal code *
City *
Telephone *
Cellular

Volunteer profile

Spoken languages *
  French
  English
  Other
Occupation *
  At home
  Student
  Working
  Unemployed
  Retired
  Other
Which of the following has informed you that we are looking for volunteers? *
  An advertisement
  A brochure or poster of the Center
  Another organization
  A relative, a friend
  Other
  website or social media
  Information session
  Another volunteer
Have you ever volunteered? *
  Yes
  No
Personal references or volunteer experience
Name of the organization Position Year Duration Tel. (if necessary)
Which of the following volunteer activities interest you ? *
  Medical and social Accompaniment/transport
  Friendly visit
  Responsible for Meals on Wheels
  Deliver meals on wheels
  Senior’s Volunteer committees
  Daily phone call
  Small services
  Little Frozen Meals / Assistant-cook
  Little Frozen Meals / Delivery
  P’tit Bonheur / Respite – child care
  P’tit Bonheur / Clothes for 0 to 6 years
  P’tit Bonheur / Cleaning baby toys and baby equipments
  Board of directors
  Technical support and occasional activities
  Translation and correction
  Fundraiser
  Support for organizations
  Help with forms and documents
For which clientele would you like to offer your services? *
  The elderly
  Sick people
  People with physical disabilities
  People with intellectual disabilities
  People with mental health problems
  Adults in difficulty
  Families in difficulty
  Young people from 7 to 17 years old
  Children from 0 to 6 years old
  Organizations
Other relevant information about you

CONFIDENTIALITY OF PERSONAL INFORMATION *

The Centre d’action bénévole Saint-Siméon/Port-Daniel is committed to ensuring the confidentiality of your personal information.
If you are referred to another organization, do you authorize the Centre d’action bénévole Saint-Siméon/Port-Daniel to transmit the information collected during the orientation process?
  I agree   I disagree