Contact Information:

First Name (required):

Last Name (required):

Address:

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Province/State (required): Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Prince Edward Island Quebec Ontario Saskatchewan Yukon Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming International

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Cell Phone:

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I would like to receive a volunteer appreciation certificate at the end of the campaign.

Volunteer Information:

How would you like to help? (please select all that apply)

Deliver free campaign items door-to-door in my neighborhood.

At an event. Select an event:

With administrative work at a One Change campaign office or by putting up volunteer recruitment posters in my community.

I would like someone to contact me further about volunteering my community group.

How did you hear about us? (please select all that apply)

From a community group. Name of Group:

A news story, television, or radio interview.

A newspaper, radio, bus, mall or billboard advertisement.

A poster or flyer.

At a One Change event.

At my doorstep.

From a friend or family member.

Why do you want to volunteer for One Change? (please select all that apply)

Raise awareness and help protect the environment.

To help my community.

The hours are flexible.

To meet people and/or my neighbours.

Requirement for school/community hours.

It's a great family activity.

Other

Please select your area(s) of interest: (please select all that apply)

Fuel efficiency

Energy efficiency

Water conservation

Air quality

Climate change