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If you would like to become a volunteer, and you would like a person to contact you, please fill out the following form and we will contact you as soon as possible

Personal Information

Your Name:
Date of Birth (m/d/y):
Your Email:
Mailing Address 1:
Mailing Address 2:
City / Province:
Postal Code:
Home Phone:
Work Phone:
Cell Phone:

Education Information

Educational Institution:
Course of Study:

Employment Information (if applicable)

Contact Number:
Your Position:

Skill and Interests

Tell us about yourself:

 By checking this box, you certify that the above information is accurate to the best of your knowledge and you agree to allow a representative from The London Village to contact you and any references listed on the form above with regards to this information