Forms

---

HOME / GOVERNMENT / GOVERNMENT ONLINE / FORMS /

Community Service Bursary Organization Registration Form

Fields marked with a red star (*) are mandatory.

Organization Information
Registration Date: *	(MM/DD/YYYY)
Name of Organization: *
Address: *
Community: *
Postal Code: *
Contact Information
Contact Person: *
Telephone: * Please enter seven digits. ie 368-5400
Fax: Please enter seven digits. ie 368-5400
Email Address: *
Volunteer Information
Special Requirements: Are there any special requirements for your volunteers?
Special Requirements:
Location of Volunteering: * Where will the students be volunteering?
Time of Year: * What time of year do you need your volunteers?
Volunteer Hours: * What hours do you need to have your volunteers available?

Do you want a copy of the form?

	Please send me a simple text-only version of the information I submitted.
	Please send me an Acrobat version of the form, with the information I've entered above filled in, that I can print and save.
	Please send me both the text-only version and the PDF.
Important Note: Email is not, by its very nature, a secure medium; if you choose to have your form emailed to you, the information you entered will be transmitted over the public Internet to your email box.

Email to address:

Submit the Form


* There are several contact persons for this form. Please select the contact person from the list below to whom your form should be directed.

	Nancy Murphy (Development and Technology ) Community Development Officer, Queens
	Brenda Profit (Development and Technology ) Community Development Officer, West Prince
	Kellie Mulligan (Development and Technology ) Community Development Officer, East Prince
	Marcel Bernard (Development and Technology ) Community Development Officer, Evangeline
	Chris Blaisdell (Development and Technology ) Community Development Officer, Eastern Kings

When you click here, the information you've entered above will be sent to the public servant responsible for receiving and processing this form. If you've opted to receive an Acrobat version of the form by email, you will receive this file shortly.