Volunteer/Placement Information Form Hamilton 2023
Please fill out this form if you’re interested in becoming an Adults in Motion volunteer or placement student.  We offer both in person, virtual and hybrid volunteer or student placement opportunities. The role in VIRTUAL is to plan, facilitate and host at least one weekly 45 minute virtual session for on-line participants.  The role IN-PERSON occurs in our day program with our participants. Training and support is provided. For virtual you will need to have basic tech skills for zoom and be capable of creating a fun, inclusive and interesting on-line environment. Any questions, please call or email us at (905-541-3723) or hamilton@adultsinmotion.org. Thank you!
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First Name *
Last Name *
Date of Birth *
MM
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DD
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YYYY
Address *
City *
Phone Number *
Email Address *
Emergency Contact Name *
Emergency Contact Number *
What Is Their Relationship To You? *
Any Allergies or Health Concerns? *
Employer/School
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