Participate in the program

Please choose a service you'd like to apply for:

Social inclusion: Walking friends

Social inclusion: Visiting friends

Social inclusion: Visiting friend with dog

Social inclusion: Phone friend

Social inclusion: Music friends

Full name * Missing information

Social security number * Missing information

Address Missing information

Postal code Missing information

City/Town Missing information

Tel: * Missing information

Email Email is not valid

I would like the volunteer's age to be... * Missing information

I would like the gender of the volunteer to be...:

No preference

Female

Male

Non-binary

What would you like to do with the volunteer? * Missing information

Contact name (if other than applicant) Missing information

Contact email (if other than applicant) Email is not valid

Contact phone (if other than applicant) Missing information

Anything else you'd like to tell us?

I confirm that I have read and agree to the terms .