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CONFIDENTIAL WHEN COMPLETED 10.


Page 3 of 4


Following is a table with a list of areas of volunteering focus. Please indicate whether you have volunteered in each of the areas of focus in the last 12 months.


For each of the areas for which you select “Yes,” please estimate the average number of hours per month that you have volunteered over the past 12 months, and enter that number in the right-hand column.


If you volunteer in other areas which are not listed in the table, there is space in 10q and 10r to describe the other area(s) and the average number of hours you volunteer per month.


If you (also) volunteer in activities that happen once a year rather than on an ongoing/continuous basis, you can tell us about that in question 11a-c.


I volunteer/have volunteered in this area


Area of volunteering focus


a. Arts and culture .................................................................. b. Museums and archives ......................................................


c. Sports and recreation ......................................................... d. Education............................................................................ e. Health and hospitals........................................................... f. Caregiving .......................................................................... g. Parks, public gardens, and nurseries................................. h. Environment ....................................................................... i. Animal care (e.g., Humane Society)................................... j. Community organizations and events ................................ k. Provincial and federal organizations and associations ...... l.


International organizations ................................................. m. Social services (e.g., Meals on Wheels) ............................ n. Law, advocacy, and politics................................................ o. Religion............................................................................... p. Emergency services (e.g., victims' services, first aid)........


in last 12 months 1 Yes


1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes 1 Yes


If your volunteering is related to areas not listed in the table above, please provide the details:


10q. Other area of focus ► (i): Description: ______________________________________________________ Average volunteer hours per month in the last 12 months: ____________________


10r. Other area of focus ► (ii): Description: ______________________________________________________ Average volunteer hours per month in the last 12 months: ____________________


If you volunteer with activities that occur on a “one-off” basis (e.g., a sports event, fund-raising, election-related work, etc.), please describe the activity, and indicate the number of hours that you have volunteered doing that activity in the past 12 months. If this does not apply to you, please continue at question 15.


11a. First “one-off” volunteer activity ► Describe activity: _______________________________________ Hours volunteered in the past 12 months: ____________________


11b. Second “one-off” volunteer activity ► Describe activity: _______________________________________ Hours volunteered in the past 12 months: ____________________


11c. Third “one-off” volunteer activity ► Describe activity: _______________________________________ Hours volunteered in the past 12 months: ____________________


Average volunteer hours per month in last 12 months


__________ __________


__________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ __________


18 n KEEP IN TOUCH | Spring 2014


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