Pomegranate Community Midwives | HOME

VOLUNTEER APPLICATION FORM
YOU
Your name required
Email address required
Address		Street: City/Region: Postal:
Home phone
Cell phone
Work phone
What is the best way to reach you?

INTERESTS
We have many areas where volunteers can get involved. Check any you are interested in:
	Assisting at events in the clinic Homebirth Info Night, Waterbirth Info Night, Maternal Creations Art & Craft Show, Queer Conception & Parenting, etc.
	Assisting at conferences & events outside the clinic BirthFest at Britannia, BirthLounge events
	Midwifery & clinic promotion Postering, newsletter distribution, web design
	Article writing Newsletter design/editing/layout, writing & distributing press releases, researching topics of choice
	Clinic organization Library organization, collating client info binders, clinic inventory, sorting donations
We are always open to suggestions about developing areas of interest that mesh volunteer skills, passions and energy with our midwifery needs:
Is there anything else about yourself that you would like us to know? Feel free to let us know what interests you about volunteering at a midwifery clinic:
SKILLS
Do you have any of these focused skills?		Administration Events planning Public relations Office assistant Research	Public speaking Advocacy Writing/editing Photography Teaching
Computer knowledge?		HTML Flash Outlook Excel Medical office software Database software Other
Pregnancy/birth experience?		Doula Midwifery student Childbirth educator Other
Other special skills?
Occassionally we have clients who are interested in having a volunteer doulas attend their birth. Would you like more information about being added to our volunteer doula list? Yes No
AVAILABILITY
I am generally available:		Monday-Friday Saturday-Sunday Mornings Afternoons Evenings Variable
MOTIVATION
What do you hope to get out of volunteering?
Thanks! If you haven't heard from us in 3-4 business days, feel free to contact our office to confirm that your application was received.