Volunteer Application

PERSONAL DETAILS

First Name

*

Last Name

*

Country of Residence

*

Nationality

If Nationality is not Canadian, do you have a visa to enter into Canada?
Yes No I don't need one.

Are you based in Montréal? *
Yes No

I am not based in Montréal. However, I will be responsible for my own accommodation and travel costs and will also take care of my visa requirements should I need a visa.
I agree (mandatory to proceed)

CONTACT DETAILS

Please enter your preferred phone number complete with country code and area code, i.e. for Montreal enter “+1 (514) 900 1234” *

Please enter your alternative phone number complete with country code and area code, i.e. for Montreal enter “+1 (514) 900 1234”

Email Address

*

Confirm Email Address

*

Age

*

GENERAL INFORMATION

Gender

*

Occupation

*

Designation

*

Name of Institution (if applicable) (university, hospital, medical school, etc)

Do you have any health conditions that could have an impact on the help you would provide at the conference? *
Yes No

If yes, please provide further information if necessary. This will enable us to assign appropriate duties to you

Size requested for your volunteer shirt

*

SKILLS

First Language

*

Please list other your languages and fluency level.

What is your skill level with Microsoft Word?

*

What is your skill level with Microsoft Excel?

*

What is your skill level with Microsoft Powerpoint?

*

Do you have skills working with video?

*

Yes No

List your other skills (if applicable)

AVAILABILITY

Are you available for the conference bag packing on Monday, September 30, 2013 from 12PM- 6PM? *
Yes No

Are you available from October 1 – 4, 2013? *
Yes No

If yes, please specify the days and time you are available. Please note: There will be two shifts per day. Please note: The morning shift could start as early as 7:30AM, the afternoon shift could finish as late as 7:00PM. The final shift times have not yet been decided and will be announced at a later stage.

Tuesday, October 1, 2013
Morning Shift Afternoon Shift No Shift Preference

Wednesday, October 2, 2013
Morning Shift Afternoon Shift No shift preference

Thursday, October 3, 2013
Morning Shift Afternoon Shift No shift preference

Friday, October 4, 2013
Morning Shift Afternoon Shift No shift preference

Volunteers must attend the mandatory WPC 2013 kick-off and training course on Monday, September 30, 2013 at 9AM - 12PM (Pick up materials from 8AM-9AM) The Kick-off meeting gives general information about the conference such as security and emergency procedures, the WPC 2013 allocation of rooms, the volunteers’ role, etc. Following this meeting volunteers will have a walkthrough of the venue and will receive a specific training.

I will attend the Kick-Off Meeting. *
Yes No

Not attending the mandatory volunteer meeting may have an effect on your application. Please contact christiana@worldpdcongress.org explaining why you would not be able to attend the meeting but that you would still like to be considered as a volunteer.

Volunteers must pick-up their badges and shirts between 8AM-9AM on Monday, September 30, 2013.

VOLUNTEER ACTIVITIES

In order of preference, please indicate your field of interest.* Link to full descriptive list of volunteer activities can be found at the top of this application.

Preference Number 1

*

Preference Number 2

*

Preference Number 3

*

Preference Number 4

*

Please note that although we will make every effort to accommodate your preferences, we may not be able to guarantee placement in the chosen fields of interest.

ASSISTANT VOLUNTEER COORDINATORS (Looking for two!)

Are you interested in supervising volunteers during the conference? (Experience needed) *
Yes No

If yes, write a few words on why you would like to be an Assistant Coordinator and the experience you have in this position.

Do you have first aid training (e.g. Red Cross)?
Yes No

If yes, please list the date and type of training:

MOTIVATION

Write a few words (max. 200 words) in the box on why you would like to be a volunteer for the conference and how it relates to your daily work/activity. Include any previous experience. *

Where did you hear about the WPC 2013 Volunteer Program? *