<questions><question><fieldtype>SimpleInput</fieldtype><fieldname>Full-Name</fieldname><fieldlabeltext><![CDATA[What is your name? (parent or guardian)]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>SimpleInput</fieldtype><fieldname>Email</fieldname><fieldlabeltext><![CDATA[What is your Email address?]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>SimpleInput</fieldtype><fieldname>Participant-Info</fieldname><fieldlabeltext><![CDATA[Please provide the NAMES of all participants including yourself, and your age and birthdate - we need your birthdate to determine if you are a senior (50+, 55+, 60+, etc) which the government is especially interested in supporting]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>SingleChoice</fieldtype><fieldname>citizenship</fieldname><fieldlabeltext><![CDATA[Are you a Canadian citizen? Preference will be given to Canadian citizens and ID proof may be necessary.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars></fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[{{Yes}}{{No}}]]></fielddataoptions><fieldnavigationoptions>{{}}{{}}</fieldnavigationoptions></question><question><fieldtype>MultipleChoice</fieldtype><fieldname>diversity</fieldname><fieldlabeltext><![CDATA[Do you have or belong to any of the following? The government is especially interested in providing support for these people.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars></fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[{{Indigenous (First Nations, Inuit, and Metis)}}{{Low income}}{{Women}}{{Black people}}{{Racialized people}}{{Newcomers}}{{Persons with disabilities}}{{Veterans}}]]></fielddataoptions><fieldnavigationoptions>{{}}{{}}{{}}{{}}{{}}{{}}{{}}{{}}</fieldnavigationoptions></question><question><fieldtype>MultipleChoice</fieldtype><fieldname>roles</fieldname><fieldlabeltext><![CDATA[What roles would you like to apply for? Check all that apply.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired>required</fieldvalidationrequired><fieldvalidationmaxchars></fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[{{Program Manager - must be present during all class times}}{{Marketing Manager - can work from home and has flexible time}}{{Instructor - can teach a class}}{{General Helper - can help with onsite communications, clean up, etc.}}{{Other - I would like to donate only}}]]></fielddataoptions><fieldnavigationoptions>{{}}{{}}{{}}{{}}{{}}</fieldnavigationoptions></question><question><fieldtype>DescriptiveInput</fieldtype><fieldname>qualifications</fieldname><fieldlabeltext><![CDATA[What are your qualifications for the roles that you are applying for? We will provide necessary training as well so list anything that will support you in your role.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>MultipleChoice</fieldtype><fieldname>compensation</fieldname><fieldlabeltext><![CDATA[Are you volunteering or would like a paid position? We may be able to pay up to $30 per hour depending on your role.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars></fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[{{Paid position only (up to $30 per hour)}}{{Volunteer only}}{{Semi-volunteer (reduced pay at $10 per hour or suggest amount in comment box below)}}]]></fielddataoptions><fieldnavigationoptions>{{}}{{}}{{}}</fieldnavigationoptions></question><question><fieldtype>DescriptiveInput</fieldtype><fieldname>role</fieldname><fieldlabeltext><![CDATA[If you are applying for a role, please indicate what your primary, secondary, and tertiary preferences are.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>DescriptiveInput</fieldtype><fieldname>unique-skills</fieldname><fieldlabeltext><![CDATA[Do you have any unique skills that can potentially enrich this project? We are open to other ideas to help the elderly.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>SingleChoice</fieldtype><fieldname>availability</fieldname><fieldlabeltext><![CDATA[We mostly need volunteers available during the weekdays from approximately 1pm to 4pm on Tuesdays, Thursdays, and Fridays. Are you available?]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars></fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[{{Yes}}{{No}}]]></fielddataoptions><fieldnavigationoptions>{{}}{{}}</fieldnavigationoptions></question><question><fieldtype>SimpleInput</fieldtype><fieldname>donation</fieldname><fieldlabeltext><![CDATA[Are you donating money to this cause? If so please specify amount. Note we will only collect when the project receives funding from the government and proceeds. All payments must be made to Shaolin Team Canada by cheque or Interac Email transfer.]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype>[optional]</fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question><question><fieldtype>DescriptiveInput</fieldtype><fieldname>Comments</fieldname><fieldlabeltext><![CDATA[Comments and Notes]]></fieldlabeltext><fieldlabelclass>[optional label class style]</fieldlabelclass><fieldlabelstyle>[optional label custom CSS style</fieldlabelstyle><fieldinputclass>[optional class style]</fieldinputclass><fieldinputstyle>[optional input custom CSS style]</fieldinputstyle><fieldinputelement>[optional input element]</fieldinputelement><fieldinputdefaultvalue><![CDATA[[optional default value]]]></fieldinputdefaultvalue><fieldvalidationrequired></fieldvalidationrequired><fieldvalidationmaxchars>[optional]</fieldvalidationmaxchars><fieldvalidationtype></fieldvalidationtype><fielddataoptions><![CDATA[]]></fielddataoptions><fieldnavigationoptions></fieldnavigationoptions></question></questions>
STARTING SECTION
Shaolin Team Canada Seniors Health Drive Project
Initial deadline to apply is Tuesday, June 30, 2026. This will give us time to submit the proposal. Thereafter, we will still accept applicants for additional volunteer roles.
What is your name? (parent or guardian)
*Required
What is your Email address?
*Required
Please provide the NAMES of all participants including yourself, and your age and birthdate - we need your birthdate to determine if you are a senior (50+, 55+, 60+, etc) which the government is especially interested in supporting
*Required
Are you a Canadian citizen? Preference will be given to Canadian citizens and ID proof may be necessary.
*Required
Yes
No
Do you have or belong to any of the following? The government is especially interested in providing support for these people.
Indigenous (First Nations, Inuit, and Metis)
Low income
Women
Black people
Racialized people
Newcomers
Persons with disabilities
Veterans
What roles would you like to apply for? Check all that apply.
*Required
Program Manager - must be present during all class times
Marketing Manager - can work from home and has flexible time
Instructor - can teach a class
General Helper - can help with onsite communications, clean up, etc.
Other - I would like to donate only
What are your qualifications for the roles that you are applying for? We will provide necessary training as well so list anything that will support you in your role.
Are you volunteering or would like a paid position? We may be able to pay up to $30 per hour depending on your role.
Paid position only (up to $30 per hour)
Volunteer only
Semi-volunteer (reduced pay at $10 per hour or suggest amount in comment box below)
If you are applying for a role, please indicate what your primary, secondary, and tertiary preferences are.
Do you have any unique skills that can potentially enrich this project? We are open to other ideas to help the elderly.
We mostly need volunteers available during the weekdays from approximately 1pm to 4pm on Tuesdays, Thursdays, and Fridays. Are you available?
Yes
No
Are you donating money to this cause? If so please specify amount. Note we will only collect when the project receives funding from the government and proceeds. All payments must be made to Shaolin Team Canada by cheque or Interac Email transfer.
Comments and Notes
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