International Medical Health Organization (IMHO) invite you to be our YOUTH VOLUNTEER Full Name: ___________________________________________________________________________ Date of Birth: __________________________________________________________________________ Phone Number: ________________________________________________________________________ Email address: _________________________________________________________________________ Occupation:
☐high school student
☐university student
☐post‐graduate
☐other:____________________________
If you are a student, which school do you currently attend? (include your expected year of graduation if applicable): ___________________________________________________________________________ How did you hear about our volunteer opportunities? _____________________________________________________________________________________ Why would you like to volunteer with IMHO/SAAAC? _____________________________________________________________________________________ When would you like to start volunteering with us? _____________________________________________________________________________________ What are your availabilities? _____________________________________________________________________________________ What type of volunteer work interests you? (check off all that apply) South Asian Autism Awareness Centre (SAAC) ☐Applied Behaviour Analysis (ABA)
☐After School Program
☐Speech Therapy
☐SAFE (South Asian Family
☐SMARTS (“Smart Arts”: Music, Dance & Art Therapy)
Empowerment Project)
☐ASD Information Sessions