Cystic Fibrosis Canada

Postal Code*

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Daytime Phone Number*

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Evening Phone Number*

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Cell Phone Number

Fax Number

Email Address*

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Reasons and Interests for Volunteering

How did you learn of Cystic Fibrosis Canada?

Why are you interested in volunteering for Cystic Fibrosis Canada? (check all that apply)

Family member of a person with Cystic Fibrosis (specify relationship below)

Friend of a person with Cystic Fibrosis

Looking to volunteer for a charity in the health care and research field

Interested to help with a particular Cystic Fibrosis Canada event (specify which one(s) below)

Student seeking to obtain volunteer hours for high school requirements

Other

Please indicate which province you would like to volunteer in:

Are you interested in volunteering with a specific Chapter?

Yes

If yes, please select Region and Chapter from the following scroll down menus:

Region

When are you most available to volunteer? (Check all that apply)

Weekdays

Weekday Evenings

Weekends

Other

Volunteer With Us