Become a Volunteer! Contact InformationName *Email *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryPhone Tell Us About Yourself!Have you even been convicted of a criminal offence for which you have not been pardoned? *--Select--YesNoWhich language(s) are you comfortable speaking and writing in? *EnglishFrenchBothWhy are you interested in volunteering with AIDS NB? *How did you hear about AIDS NB? *On a scale of 1 - 10, what is your comfort level discussing sex and sexuality? 1 - I would avoid it at all cost.2 - I might listen.3 - I would listen but not participate.4 - I would listen and participate if I must.5 - I would participate but would rather not.6 - I would willingly participate but not initiate.7 - I might initiate but only with people I'm comfortable with.8 - I would initiate with most people.9 - I would initiate with anyone.10 - I would lecture about it.Are you comfortable working with diverse groups? *YesNo How would you like to volunteer with us?1st *--Select--Board MemberEducationNeedle Exchange Program2nd *--Select--Board MemberEducationNeedle Exchange Program3rd *--Select--Board MemberEducationNeedle Exchange Program Please upload you résuméRésumé upload *Section VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank:
