CNIB Foundation Virtual Vision Mate Volunteer Form

Thank you for your interest in becoming a Virtual Vision Mate volunteer. In this role, you will help us combat the negative ramifications that isolation can have on Canadians with sight loss. Together, we’ll ensure our community is supported during this unprecedented time. Please complete the following Form so that we can learn more about you.

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Contact Information

Area of Interest

Declaration and Submission

Please read the following declarations carefully prior to checking the box stating that you agree to the outlined declarations and submitting your application.

  • I declare all the information provided on this form and in any other accompanying documents is complete and true in every respect.

  • I understand failure to completely and truthfully answer the questions asked of me, when discovered, will constitute grounds for immediate rejection of my application or, if already accepted as a volunteer, immediate dismissal for just cause.

  • I understand that all personal information which become part of this application will be regarded as confidential pursuant to the Freedom of Information and Protection of Privacy Act.

For assistance please contact us at our Contact Centre: 1-800-563-2642.