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First Name
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Last Name
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Contact Information
Address
(e.g., Unit 1101, 123 Some Street)
City/Town
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Postal Code
Province
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Prince Edward Island
Quebec
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Preferred Method of Communication
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Email
Mail
Phone
E-mail address
Phone
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Have You Volunteered Before?
(Choose one)
No
Yes, many times
Yes, once or twice
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Primary Objective of Volunteering
(Choose one)
To gain work experience
Post-secondary education practicum fulfillment
Secondary school co-op requirement
Secondary school graduation requirement
Employer supported volunteering initiative
Seeking to volunteer together with family
It was suggested by court of law
Other
To give back to the community
To gain/enhance new skills
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Allow to Contact for Survey?
No
Yes
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