Volunteer Registration Form

Volunteer and Make a Difference Today

Please take a moment to fill out this volunteer application:

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Question - Required - First Name:

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Question - Required - Last Name:

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Question - Required - Email:

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Question - Required - City:

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Question - Required - Province:

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Question - Required - Postal Code:

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Question - Required - Phone Number:

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Question - Required - What is your connection with pancreatic cancer?

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Question - Required - There are many ways to support Pancreatic Cancer Canada as a volunteer. Please let us know how you would like to get involved:

	Advocating in my community
	Fundraising
	Sharing my personal story
	Spreading awareness
	Volunteering at an event
	Public speaking

Question - Not Required - I have other comments or ideas on how I can help:

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Question - Required - In registering as a volunteer, you acknowledge that photos or images of you may be taken. You further acknowledge that these photos may be used for promotion of this and future events. They also may be used on social media, on PCC's website, and in the production of our newsletter. The photos will be used solely for PCC purposes.

By clicking SUBMIT, you are indicating that you would like to be contacted by Pancreatic Cancer Canada about upcoming volunteer opportunities. You will also receive periodic updates and communications.