Sierra Club Atlantic Volunteer Application Form

I want to be a member of the Sierra Club Volunteer Crew.  Sign me up.

Name:

Address:                                                                                            Postal Code:

Home Phone:                                                                                 Business Phone:

Email:

Contact in case of emergency:

I am currently a member of Sierra Club of Canada   ☐

Are you?:

A Student? ☐               If so, what is your area of study:                                 Full or Part time?   F/P

Employed or Retired?  ☐                Employer:  __________________                   Position Held:  _________________

Education:                                                        

A high school diploma  ☐   A college degree  ☐   A university degree   ☐   Other?  ☐

My volunteer experience includes:

The skills that I have include:

I am interested to volunteer with the Sierra Club because:

The types of volunteer work I would like to do include:

☐ Advocacy (e.g. writing letters to/meeting with politicians)                  ☐ Public speaking, giving presentations

☐ Research/prep for upcoming campaigns                                            ☐ Helping around the office (e.g. folding, filing)

☐ Governance (e.g. sitting on a committee)                                               ☐ Writingfor The Sandpiper (Sierra Club publication)

☐ Outreach (e.g. calling members to renew, staffing a booth)                ☐ Social Mediaand Communications

☐ Fundraising (e.g. hosting a party)                                                          ☐ Organize Special Events 

☐ Volunteer Crew (attending and supporting events)                            ☐ Volunteer Coordination

My preferred volunteer times are:

☐Weekdays                 ☐ Weekends          ☐ Mornings            ☐ Afternoons         ☐ Evenings

I would prefer to volunteer:

☐ A few hours a week                                   ☐ A few hours a month                       ☐ Ongoing, when needed

Other skills I have to offer as a volunteer include:

☐ Event Planning          ☐ Fundraising      ☐ Website             ☐ Art/Creative       ☐ Campaigning    ☐ Other (tell us):

Have you been convicted of a criminal offence.               Yes ☐   No☐

My priorities for working for the environment is:  (check one or more)

☐Oil and Gas Issues

☐Endangered Species

☐Climate Change

 Renewable Energy

 Sustainable Forestry

 Protected Areas

 Sustainable Fisheries

 Hiking, recreation

 Sustainable Agriculture

 Mining Issues

 Pesticides

Toxics

Aquaculture

 Environmental Law

 Air quality issues

 Biotechnology

 Ecotourism

 Nuclear Power

 Environmental Education

 Environmental Health

 Marine Issues

 Coastal Issues

 Land Management

 Waste

 Water Quality

Hazardous Waste