* Required fields

First Name*

Last Name*

Age*

Gender*

Address*

City*

Province*

Postal Code*

Email*

Primary Phone #*

Name of School/University/Employer*

Grade/Year

Field of Study/Profession*

Interests/Activities*

Please indicate the areas in which you are interested in volunteering (check all boxes that apply):

FoodBanks / Resource Centers
Accounting / Administration
Webdesign / IT
In-Kind Donations Program
Youth Leadership Development Program (as Youth Mentor, Program Administrator, Motivational Speaker)
Other (Please Specify):

Consent Agreement:

Limitation of Liability: ICNA Relief Canada and its Staff will take all necessary precautions to ensure that the work environment offered is Safe & Secure for all its Volunteers and Staff. ICNA Relief Canada, its Staff, or its Directors cannot accept any responsibility for any loss and/or damage to person or property resulting from events outside of our control (Acts of God), failure to use common sense, failure to follow instructions from your supervisor, or damage resulting from risky and unprofessional behavior. By accepting this agreement the Volunteer agrees to indemnify ICNA Relief Canada, its Staff, its Directors from any Liability thus caused.

Privacy Statement: ICNA Relief Canada collects and uses your personal information for the purposes of the event you are signing up for, and will not share, disclose, exchange or sell your personal information to any third parties without your prior permission.

Yes, I have read the Consent Agreement (above) and I'm interested in volunteering with ICNA Relief Canada.*
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