*Information is required in all fields to submit form.
Please complete the following form if you are interested in volunteering as a Breastfeeding Buddies Peer. The information on this form will be used to process your volunteer application.

Contact Information

Emergency Contact

Language Spoken


Breastfeeding Information

   

Personal References

Acknowledgements

Thank you for your interest. Timiskaming Health Unit will contact all applicants who meet the volunteer criteria.

*Information is required in all fields to submit form.

(Submit to go to Submit to go to hbhc@timiskaminghu.com.

The information on this form is being collected for volunteer placement purposes in compliance with the Municipal Freedom of Information and Protection of Privacy Act. If you have any questions regarding the collection and use of this information, please contact the Privacy Officer at 705-647-4305.