Central District volunteer registration form
Thank you for expressing an interest in joining our team of more than 11,000 volunteers and helping us achieve our mission to eradicate cancer and enhance the quality of life for people living with cancer. Please complete this registration form to help us match your needs with ours. If you have any questions about the personal information we collect and how we use it, please refer to our privacy policy.



Nom :











Ville/Province/Code postal :





Date de naissance









Volunteer Experience and Education Backgroud


Question - Not Required - Languages spoken:
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Question - Required - Let us know when you are available to volunteer:



Placement Preferences

In order to assist us in matching you with the best available volunteer position, please indicate which type of volunteer work you prefer. Check all that apply; leave blank for no preference.

Question - Not Required - Office Support:

Question - Not Required - Health Promotion:

Question - Not Required - Community Programs:

Question - Not Required - Revenue Development:

Question - Not Required - Leadership:

Question - Not Required - Communications:

  fr_CA Autres renseignements liés à votre participation à l'événement Additional information related to your participation at the event


(255 caractères max. pour la réponse, environ 5 lignes de texte)

  Other Information
The Canadian Cancer Society has opportunities that are specific to survivors and care givers. Would you like to find out additional information about these programs?
Question - Not Required - Yes, I am a:

  References "Mandatory"
The Canadian Cancer Society seeks to protect volunteers, survivors, caregivers, participants, employees, and the community through appropriate screening measures. Please provide the names of two or three references that we may contact (preferably individuals from organizations where you have volunteered or worked)

(255 caractères max. pour la réponse, environ 5 lignes de texte)


Volunteer Waiver

This agreement forms part of and must be attached to the Volunteer Application Form. Before you start volunteering, the Canadian Cancer Society requires your agreement on the following:

  • I understand that the Society has a volunteer screening process in place, and that I may be asked to undergo an orientation, interview, reference checking, and /or criminal records and child abuse registry check, depending on the nature of the volunteer position for which I am applying.
  • I will abstain from smoking or using tobacco while volunteering and I recognize that all Canadian Cancer Society events and services are smoke and tobacco free.
  • I will abstain from any use of alcohol or drugs while volunteering for the Canadian Cancer Society.
  • I grant permission to the Canadian Cancer Society to use my name, any photo or video images of me and any comments made by me in writing or otherwise, for promotional purposes in any form of media (i.e. TV, radio, web or print)
  • I understand that confidentiality is fundamental to all programs of the Canadian Cancer Society and I will be sensitive to the need for confidentiality. By signing below, I am indicating that I will not use or disclose in any manner to any third party (other than to Canadian Cancer Society attorneys, auditors, or authorized government officials) any information without the prior express written consent of the Canadian Cancer Society.
  • I understand that I cannot give medical advice (which includes comments and suggestions that personalize medical information and influence treatment decisions). If someone is seeking information, I will direct him or her to a Canadian Cancer Society employee or the toll-free Cancer Information Service at 1-888-939-3333.
  • I understand that I am representing the Canadian Cancer Society during my time volunteering and I agree to act in a professional manner at all times. I acknowledge receipt of the Volunteer Code of Conduct and agree to follow it all times while volunteering for the Society.
  • I hereby release and discharge the Canadian Cancer Society, its agents, employees and licensees from any claim or action that I may have with respect to the use of any of the above or my participation in any related Canadian Cancer Society activities, while volunteering for the Canadian Cancer Society.  

By accepting below, I acknowledge that the information provided is true and accurate and that I have read, understood, and will abide by the Volunteer Agreement above. I grant the Canadian Cancer Society permission to contact the references listed on my application form and follow up on any information provided.

Go to printable waiver .

Question - Required - Veuillez sélectionner une des options suivantes :

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