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County of Wellington Indigenous Gathering Circle Volunteer Form

First Name

Last Name

Email

Address

City

Postal Code

Preferred Contact Number

Current Place of Work (if applicable)

Are you a student looking to complete community involvement hours for your Ontario Secondary School Diploma (OSSD) Are you a student looking to complete community involvement hours for your Ontario Secondary School Diploma (OSSD)

Yes

No

Are you interested in volunteering at the Gathering Circle Are you interested in volunteering at the Gathering Circle

Yes

No

Are you interested in receiving email communications regarding the Gathering Circle Are you interested in receiving email communications regarding the Gathering Circle

Yes

No

Please indicate skills or interests that may be helpful in the creation and maintenance of the Indigenous Gathering Circle (check all that apply) Please indicate skills or interests that may be helpful in the creation and maintenance of the Indigenous Gathering Circle (check all that apply)

Plant/medicine knowledge

Gardening experience

Indigenous knowledges/teachings

Indigenous languages

Additional Languages

Other

Do you have any resources at your disposal that could support in the creation and/or maintenance of the Indigenous Gathering Circle?

Please indicate which days you may be available to volunteer, check all that apply Please indicate which days you may be available to volunteer, check all that apply

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

Various days

Please indicate the time of day you may be available to volunteer, check all that apply.

Morning

Afternoon

Evening

Full day

Various times

Please provide any other information that will be useful in our volunteer recruitment process.

NOTE: All information in this application will be kept confidential according to the Municipal Act, 2001, S.O. 2001, c.25

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© 2023 County of Wellington, 74 Woolwich St. Guelph, Ontario N1H 3T9, T 519.837.2600, TF 1.800.663.0750, F 519.837.1909

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