Join as a volunteer

Identification

*Title:

Mr.

Ms.

*Family name:

*First name:

*Date of birth:

*Email address:

*No.:

*Street:

Apt.:

*City:

*Province:

*Postal code:

*Telephone (home):

Telephone (work):

Cell. phone:

*Type of volunteer work desired

Assistance at mobile blood drives Telerecruiting (in our call centre in Montréal or in Québec city), specify city:

Recruiting of apheresis donors at mobile blood drives or booths Organization of mobile blood drives Assistance at GLOBULE/PLASMAVIE centres, specify city:

Obtain the addresses of our GLOBULE
Obtain the addresses of our PLASMAVIE

*Status

Student Retired Other, specify:

*Availability

Day Evening Weekend

*Pertinent experience (as volunteer or worker)

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