If you are interested in being involved in the Niagara Leadership Summit for Women, please complete the form below and we would love to have you join the team.

Please take note of the following volunteer dates:

Niagara Leadership Summit for Women: Saturday, October 27, 2018
Orientation session: To be determined

First Name:

Last Name:


Daytime Phone:



Postal Code:

Emergency Contact

First Name:

Last Name:


Phone Number:

Secondary Phone Number:

Volunteer Dates

Niagara Leadership Summit for Women: October 27, 2018
Orientation session: To be determined
(attendance is mandatory for training, orientation and event date)

Role Preferred (check all that apply):

Reception: Greet guests and direct them to specific locations and peopleSupport: provide support to volunteers and guests as neededRegistration: register guests upon arrival to event

Child Care: Help us provide exceptional daycare, so that the event is accessible for everyone:



Knowledge of Brock University Layout:

Very KnowledgeableSomewhat KnowledgeableDo not know Brock University well

Do you have any relevant skills / qualifications / experience that you would like us to be aware of?

Why are you interested in volunteering for this event? (required)

Do you have any concerns to consider to ensure you get the support you need as a volunteer?

Anything else you would like us to consider?