Volunteer Application Form We appreciate your interest in volunteering for the Canadian Stuttering Association (CSA). Please complete the form below and the Volunteer Coordinator will get back to you between 1-2 weeks to follow-up with your application.Name: *FirstLastAddress: *Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryHome phone:-Area CodePhone NumberCell Phone:-Area CodePhone NumberEmail: *I am interested in volunteering for the following activites: *Conference Day and/or Special EventsConference PlanningGuest Speaker for Educational InitiativesFundraisingMembershipMarketing and CommunicationsNewsletterSupport Group LeaderWebsite Content DevelopmentOtherWhat level of volunteer commitment are you interested in providing?: *Short-term (e.g., Conference Day, special event)Long-term (e.g., support group, board member)Please specific the time commitment below: *1 day (e.g., Conference Day)6 months1 yearOngoingWhy do you want to volunteer for the CSA? (200 words max): *How did you find out about the CSA?:InternetWord of MouthBrochure/Newspaper/PamphletSpeech-Language Pathologist or Clinic (please specify below)OtherIf you found out about the CSA from a Speech-Language Pathologist or a Clinic, who/which one?:Please attach your Resume/CV, in PDF format: *Thanks again for your interest!type_submit_reset_25SubmitReset
