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Volunteer Information Form

 
Personal Information

The Heart and Stroke Foundation of Saskatchewan is committed to protecting the privacy of your personal information. We may maintain a record of your interaction for donor-related, promotion and tax receipting purposes, where required. Occasionally, we may contact you with mission-related communications. If you wish no further contact or have any questions or concerns regarding the privacy of your personal information, please contact our Privacy Officer, at the Heart and Stroke Foundation of Saskatchewan, 279 3rd Ave N., Saskatoon, SK S7K 2H8; or via email to privacyofficer@hsf.sk.ca or phone toll-free 1-888-473-4636.

Title:
First Name:*
Middle Initial:
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
ZIP/Postal Code:*
Phone:
Fax:


Additional Information
I am a:
New Volunteer
Returning Volunteer
Age range (optional if over 18):
< 18
18-24
25-34
35-54
55-69
70 +
How did you find out about the Heart and Stroke Foundation of Saskatchewan?:
Recruitment brochure
Workplace
Family or friend
School or university
Heart and Stroke website
Heart and Stroke staff
Heart and Stroke event
Heart and Stroke volunteer
Other:
What is your motivation for volunteering with the Heart and Stroke Foundation of Saskatchewan?:
Have you or a family member been affected by heart disease or stroke?:
Yes
No
Please share whatever detail you are comfortable with:
Would you be willing to share your story to help increase public awareness about heart disease and stroke in Saskatchewan:
Yes
No
Please indicate the level of responsibility you are interested in:
Leadership role
Supporting role
Day of events only
I am interested in volunteering on a:
Short-term basis (up to six months)
Long-term basis (longer than six months)
Occasionally (as needed and available)
Please indicate which skill(s) you would like to provide to the HSFS volunteer team:
Fundraising
Volunteer recruitment
Public speaking
Event planning
Health promotion
Advocacy
Special event support
Office / clerical / computer
Community canvassing
Peer support (survivors/families)
Other skills:
Please indicate your availability to volunteer:
Volunteer experience:
Area(s) of study:
Current / former occupation(s):
Name of employer (optional):
Hobbies and interests:
References Please list the names of two people whom we may contact as a reference in regard to your character and ability:
Professional Reference (should be a teacher, employer, etc.):
Title/Occupation:
Contact Details:
Personal Reference (should be a friend. Please do not use relatives):
Title/Occupation:
Contact Details:
I welcome the Heart and Stroke Foundation to contact me about new and ongoing volunteer opportunities:
Yes
No
I welcome the Heart and Stroke Foundation to contact me about other mission-related activities:
Yes
No
My preferred method of contact is:
Email
Phone
Mail


I acknowledge that the Heart and Stroke Foundation of Saskatchewan will be confirming the details I have provided above.