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Living > Public Health, Safety

Volunteer Placement Request Form

Complete the following form if you would like to volunteer with Niagara Public Health.

You will be contacted with details of any available opportunities.

Request Form

Contact Information

Name

Telephone

Email

Availability


Which days are you available to work?
       


What Hours can you work during the day?
 to 


In total, how many hours do you plan to volunteer?
  (Example: 10 days x 4 hours = 40 total)

Placement


Which area would you like to volunteer with?


Community Food Advisors provide reliable, unbiased and current information to the community about safe and nutritious food selection, preparation and storage practices in Niagara.



Physical Activity Advisors motivate Niagara residents to adopt a physically more active lifestyle. They deliver current information through presentations and displays to the community.


Additional Comments

Any additional comments/questions that you have

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