Citizen Advocacy - Application

Please send me more information about volunteering

I am not yet ready to apply. Please send me more information about becoming a volunteer advocate.
I am ready to apply to become a volunteer advocate. Please consider this my formal application.

All information provided to Citizen Advocacy will be regarded as strictly confidential.

*Please check one:
Mr. Mrs. Ms. Miss. Dr.

*Full name:

*Address:

Apartment number:

*City:

Postal code:

*E-mail:

*Home phone number:

*Work phone number:

Cell phone number:

Volunteer advocates are 18 years and older. What year were you born?

Do you expect to live in the Ottawa region for the next 12 months?
Yes | No |

What is your preferred language of communication?
English | French | Other |

How did you find out about Citizen Advocacy? Please be specific (e.g. name of website, name of friend or co-worker).

Are you interested in volunteering for:
Chance for Choice for Older Adults
Everyday Champions One-On-One match
Everyday Champions Group Home Match
Unsure

All applicants will be asked to provide three personal references (other than family), and to agree to a Police Check. Thank you for your interest in Citizen Advocacy!

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Thank you. Your application has been sent.

Please send me more information about volunteering