Volunteer Application Form
This is a time for our community to come together to help and support one another and the broader society.

To assist those who are vulnerable and in need of assistance in these times, a group of Muslims has come together to form Regina Muslim Community Emergency Response (RMCER).

RMCER is seeking to collect the information of individuals who want to make use of RMCER's services. These services include grocery shopping/delivery, medication pick up/drop off, lunch delivery for medical professionals, phone check-ins, as well as support of international students and Imams.

We are looking for people who can volunteer 5-6 hours a month towards this effort. You can contribute in multiple ways - whether you prefer to stay home and help or are able to drive within the city, there are many ways you can do you part!

Want to contact us? Send us an email us at info@rmcer.com
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First Name *
Last Name *
Email *
Phone number *
Address *
What is your occupation? *
Availability? *
Required
In which area(s) of Regina would you like to volunteer?   *
Required
Do you have a vehicle with a valid driver's license? *
Which of the following service(s) can you assist with? *
Required
What languages do you speak other than English? *
Required
Anything else you would like to share?
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