Your Name (required)
Your Email (required)
Phone Number (required)
Emergency Contact Name:
Emergency Contact Phone:
Have you ever been a client of Timmins & Area Women in Crisis?
If yes, in which month and year was your file closed?
I prefer to volunteer with:
Political ActionClothing Exchange ProgramAdministration DutiesFundraisingBoard of DirectorsOther
I agree to sign an oath of confidentiality regardless of my volunteer capacity.
I am available to volunteer: (dates/times)
My interests and hobbies: