TO Chapter: Volunteer Questionnaire Question Title * 1. Personal Details: This information is used only for volunteer notifications, opportunities and information, in relation to your interest in volunteering with Cystic Fibrosis Canada. First Name: Last Name: Date of Birth: Occupation/Course of Study: Email Address: Street Address: City: Postal Code: Question Title * 2. Phone Numbers: Please enter all numbers that apply. If you do not have all options provided (for instance, no home phone number) place an N/A for Not Applicable in the text box. Cell: Home: Work: Emergency Contact Name: Emergency Contact Relationship: Emergency Contact Phone Number: Question Title * 3. Do you have a personal Cystic Fibrosis connection? (Check all that apply) No, just interested in volunteering Yes, someone in my extended family Yes, someone in my immediate family Yes, a friend of mine Yes, I have Cystic Fibrosis Other (please specify) Question Title * 4. Would you be interested and/or available to speak about CF on behalf of Cystic Fibrosis Canada? Yes, on occasion No, thank you Maybe, I'd like to discuss further Question Title * 5. Are you applying to volunteer for a specific event? (Check all that apply) Valentini Blue Great Strides Walk Lawn Summer Nights Scotiabank Toronto Waterfront Marathon Other (please specify) Question Title * 6. Where do you live and/or what area's could you volunteer in? (Check all that apply) Cornwall Durham Region Essex-Kent Hamilton Huron-Oxford-Perth Kingston Kitchener-Waterloo District London Niagara North Bay Ottawa Peel & District Peterborough Sarnia-Lambton Sault Ste. Marie Sudbury Thunder Bay Toronto & District Other (please specify) Question Title * 7. When is it most convenient for you to volunteer? NOTE: The times do not need to exactly represent your availability, this will be used to get a sense of your schedule. Never On occasion, can be arranged Mostly, I have a few commitments Often/Preferred Mon - Fri, 9 am - 5 pm Mon - Fri, 9 am - 5 pm Never Mon - Fri, 9 am - 5 pm On occasion, can be arranged Mon - Fri, 9 am - 5 pm Mostly, I have a few commitments Mon - Fri, 9 am - 5 pm Often/Preferred Mon - Fri, 5 pm - 9 pm Mon - Fri, 5 pm - 9 pm Never Mon - Fri, 5 pm - 9 pm On occasion, can be arranged Mon - Fri, 5 pm - 9 pm Mostly, I have a few commitments Mon - Fri, 5 pm - 9 pm Often/Preferred Saturday 9 am - 5 pm Saturday 9 am - 5 pm Never Saturday 9 am - 5 pm On occasion, can be arranged Saturday 9 am - 5 pm Mostly, I have a few commitments Saturday 9 am - 5 pm Often/Preferred Saturday 5 pm - 11 pm Saturday 5 pm - 11 pm Never Saturday 5 pm - 11 pm On occasion, can be arranged Saturday 5 pm - 11 pm Mostly, I have a few commitments Saturday 5 pm - 11 pm Often/Preferred Sunday 8 am - 4 pm Sunday 8 am - 4 pm Never Sunday 8 am - 4 pm On occasion, can be arranged Sunday 8 am - 4 pm Mostly, I have a few commitments Sunday 8 am - 4 pm Often/Preferred Question Title * 8. Which of the following activities appeal to you? (Check all that apply) Organizing/running fundraising events Being an event day volunteer I have a vehicle for pick ups/drop offs Soliciting donations for silent auctions Researching/Preparing grant applications Chapter Board of Directors Attending events as a CFC representative Public Speaking Office Support / Administration Promoting CF events & programs Writing media releases & editorials Writing/editing newsletters, social media posts etc. Other (please specify) Question Title * 9. What previous volunteer work have you done? Question Title * 10. What knowledge, work skills or experience do you have that could help the CFC? (Check all that apply) Basic Computer Skills (MS Word, Excel, PowerPoint, etc.) Writing Project/Program Management Event Management Organizational Skills Team & Leadership Skills Accounting/Budget Planning Fundraising Marketing, Sales, Customer Service Graphic Design Knowledge of cystic fibrosis Administration Communications / Public Speaking Clerical / Office Other (please specify) Question Title * 11. Why would you like to volunteer with Cystic Fibrosis Canada? (Check all that apply) To gain volunteer hours To help others To help raise money for research for Cystic Fibrosis To help raise money for those with Cystic Fibrosis To help my community To get involved in my community Other (please specify) Question Title * 12. Thank you so much for your interest in and support of Cystic Fibrosis Canada! If you have any additional comments, please use the space below. You can also contact jointheteam@cysticfibrosis.ca with questions or concerns. We will be in touch with you soon! Done
