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About
Events
Services
Religion
Education
Careers
Contact
Donate

Volunteer with MIA

Application Form

Areas of Interest (check all that apply) *

General volunteer
Event staff
Maintenance
Youth activities
Sports and recreation
Education
Ramadan
Eid

Other area of interest

Name *

First

Last

Email *

Date of Birth *

Phone # *

Hours available per week *

Do you have your own transportation? *

Yes
No

Do you have a driver's license? *

Yes
No

Reference 1

Please list at least 2 references

Ref 1 Name *

Ref 1 Organization/Position *

Ref 1 Phone *

Reference 2

Ref 2 Name

Ref 2 Organization/Position

Ref 2 Phone

Any additional comments

DECLARATION and AUTHORIZATION *

I hereby declare that the information provided in this form is true and complete to my knowledge. I understand that a false statement may disqualify my application or cause my dismissal. I have not had any accusations of misconduct against me and there is none known to me that could prevent me from doing the applied for work. I authorize the Manitoba Islamic Association to contact any person listed as a reference in this or the attached document I have provided.

Email

Privacy Statement:

The Manitoba Islamic Association respects your privacy where we protect your personal information and adhere to all legislative requirements with respect to protecting privacy. The information you provide will be used to deliver information and to keep you up to date on the activities of the MIA, including programs, services, special events, funding needs, opportunities to volunteer. If at any time you wish to be removed simply contact MIA by phone at (204) 256-1347 or via e-mail at office@miaonline.org and we will gladly accommodate your request.

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