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Create a Userid
Username
Enter the userid that will be used to log on to the system.
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Password
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Contact Information
First Name
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Last Name
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County
Choose one
Annapolis
Antigonish
Bedford/Sackville
Cape Breton
Colchester
Cumberland
Dartmouth City
Digby
Guysborough
Halifax Peninsula
Halifax Mainland
HRM (Other than Halifax, Dartmouth, Bedford/Sackville)
Hants
Inverness
Kings
Lunenburg
Pictou
Queens
Richmond
Shelburne
Victoria
Yarmouth
Virtual
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Postal Code
E-mail address
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Preferred Method of Communication
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Email
Mail
Phone
Phone
Have You Volunteered Before?
(Choose one)
No
Yes, once or twice
Yes, many times
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Primary Objective of Volunteering
(Choose one)
To gain work experience
Post-secondary education practicum fulfillment
Secondary school co-op requirement
Secondary school graduation requirement
Employer supported volunteering initiative
Seeking to volunteer together with family
It was suggested by court of law
Other
To give back to the community
To gain/enhance new skills
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Allow to Contact for Survey?
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No
Yes
Do you have a recent CRC/VS Check?
No
Yes
I agree to let Volunteer NS share my information with non-profit organizations that have registered with Volunteer NS
Questions about the form?
Simply dial 211 from within the province of Nova Scotia
