Shaar Cares Initiative – Volunteer Form

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Shaar Cares Initiative – Volunteer Form

I volunteer to help homebound community members.

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* Indicates required question

Name *

Your answer

Cellphone *

Your answer

Email *

Your answer

Age *

Your answer

Have you been out of Quebec in the past 14 days? *

Yes

No

Are you or anyone in your household experiencing symptoms of illness? *

Yes

No

I am available to: *

Deliver meals to homes (I have a car and valid license)

Make calls on behalf of Shaar Cares

Grocery shopping

Other:

Required

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