Volunteer Application Form 
There are many ways for you to get involved by volunteering with our organization. If you are interested in one of the roles listed below, please fill out the application form and we will get in touch with you!
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Email *
Full Name *
Address  *
Phone Number *
Please select the role(s) you are interested in:  *
Required

What inspires you to volunteer for the Brain Injury Association of Peel and Halton?

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To better understand your level of commitment, please specify the number of hours per week that you would be able to commit to tasks and activities*
*
Please list your availability (Monday — Sunday), including specific time frames: *
How did you hear about BIAPH? *
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