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Volunteer Application

Full Name

Phone Number

Phone Number (secondary)

Address

Province

City

Postal Code

In event of emergency please notify:

Name of Emergency Contact

Relationship of Emergency Contact

Phone Number for Emergency Contact

When are you available?

Mornings
Afternoons
Evenings
Weekends

Are you 16 years or older?

Yes
No

Do you have any experience in video or sound production, photography, journalism, etc?

Yes
No

If yes, please specify

Do you have any physical disabilities or health conditions that may restrict your participation?

Yes
No

If yes, please specify

Why do you want to volunteer with your community channel?

Where did you hear about volunteering with Eastlink TV?

I consent to Eastlink TV contacting me via phone or email, as provided above, with regards to volunteer opportunities. My contact information will not be shared or used for any other reason.

Satisfactory criminal background check will be requested.

Please allow 2-3 weeks for follow-up.

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Eastlink
P.O. Box 8660,
Station "A"
Halifax, NS, B3K 5M3
1-888-345-1111

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