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VOLUNTEER RECRUITMENT AND INFORMATION FORM by undul852

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									                                                                                                     W1-67 Van Vliet Centre
                                                                                                        University of Alberta
                                                                                                         Edmonton, Alberta
                                                                                                          Canada T6G 2H9
                                                                                                     Phone 1-780-492-3182
VOLUNTEER RECRUITMENT AND INFORMATION FORM
                                                                                                        Fax 1-780-492-7161
Want to give back to the community and make a difference in the lives of people                    www.steadwardcentre.org
with disabilities … then Volunteer at The Steadward Centre. We are always in
need of more volunteers.

Simply complete this form and return it to the address below and someone will contact you.
We look forward to working with you!

CONTACT INFORMATION

Name:      __________________________________________________________________
Address: __________________________________________________________________
City:      __________________________________________________________________
Postal Code: _______________________________________________________________
Telephone:      _______________________________                     Fax: _______________________
E-mail: __________________________________________________________________
Emergency Contact:
Name: ____________________________________                          Telephone: _________________

Please return this form to:

The Steadward Centre for Personal & Physical Achievement
W1-67 Van Vliet Centre
University of Alberta
Edmonton, Alberta
T6G 2H9
(Tel) 780-492-3182
(Fax) 780-492-7161


Collection & Use of Information
The personal information above is collected under authority of Section 33(c) of the Alberta FOIPP Act for the
purpose of administering The Steadward Centre’s Volunteer Roster. The information collected will be used for
verifying and updating contact information, emergency contact and hours tracking, and will not be shared with
any other organization. Records will be kept and disposed of according to The Steadward Centre’s Record
Retention Schedule and Disposal Authority. Questions about the collection, use, disclosure and disposal of this
information should be directed to: Manager, Information Systems; The Steadward Centre for Personal &
Physical Achievement; W1-67 Van Vliet Centre, University of Alberta; Edmonton, Alberta, T6G 2H9; Phone:
(780) 492-7091; Fax: (780) 492-7161; E-mail: info@steadwardcentre.org

								
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