UPCOMING EVENTS

LQC Online Member Application

All field name's followed a * are compulsory.


Contact Information

*Required Field You must be 16 or older to submit this form.

*Title :
*First Name :
*Last Name :
*Address :
*Country :
*State :
*City :
*Zip/Postal Code :
*Home phone :
*Work phone :
*E-mail Address :
*Are you 16 years or older? : yesno
*How did you hear about us?:
*Availability

During which hours are you available for volunteer assignments?

Weekday mornings : Weekend mornings :
Weekday afternoons : Weekend afternoons :
Weekday evenings : Weekend evenings :
*Interests

Tell us in which areas you are interested in volunteering

Administration : Events :
Field work : Fundraising :
Deliveries : Phone bank :
Newsletter production : Volunteer coordination :
Special Skills or Qualifications

Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Previous Volunteer Experience

Summarize your previous volunteer experience.

Person to Notify in Case of Emergency
*Title :
*First Name :
*Last Name :
*Address :
*Country :
*City :
*Zip/Postal Code :
*Home phone :
*Work phone :
*E-mail Address :

Agreements :- By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.


*Word Verification :
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