Volunteer and Community Information Centre Community Foundation of Medicine Hat and Southeastern Alberta City of Medicine Hat Southeast Alberta Child and Family Services Authority Family and Community Support Services Southeast Alberta Regional Directory



Organizations Form

Please fill out the form carefully. Fields marked with * are required.
We will review the information and then add it to the database. Note: Only use the Enter key when you are ready to submit the form. Thank you!

Visit the Southeast Alberta Regional Directory website

* Please select a category that best describes the organization (you can select more than one if necessary):

Arts/Culture
Child & Family Services
Crime Prevention
Daycares
Employment Services
Ethnic
Faith/Religious
Family and Community Support Services
Health Services
Hobby Clubs/Game Groups
Lifeskills
Literacy/Educational
Other Community Organizations
Program Funding Support
Schools
Self Help & Support Groups
Seniors
Service Clubs
Shelters & Food Banks
Sports/Recreation
Transportation
Youth

* Please select appropriate organizational structure (you can select more than one if necessary):

Not-For-Profit     Charitable     Government     Provincial     Municipal    

* Please select cities/towns/villages in which the public can directly access your services:

Acadia ValleyAdenBassanoBig Stone
BindlossBow CityBow IslandBrooks
BuffaloBurdettCassilsCereal
CessfordChinookDorothyDuchess
DunmoreElkwaterEmpressEsther
EtzikomFinneganForemostGem
HildaIddesleighIrvineJenner
MalebManyberriesMedicine HatMillicent
New BridgenOnefourOrionOyen
PatriciaPollockvilleRainierRalston
RedcliffRolling HillsRosemaryScandia
SchulerSedaliaSeven PersonsSibbald
SkiffSuffieldSunnynookTilley
VeinervilleWalshWardlowYoungstown

 

* Name of organization/program:  
Alternate names (if any):
* Description of organization/program:
* Mailing address:
* City:
* Province:
* Postal Code:
Street address (if different from mailing address):
* Phone number:
Toll-free phone number:
Fax number:
Public email address:
Private email address (won't be available for the public, and will only be used for updating purposes):
Website URL:
* Contact person:
Hours of operation:
After hour crisis services:
* Service languages: English   French Other 
* Wheelchair accessible: Yes No
Transportation available:
* Services and programs:
Products available:
Special events:
Membership fees/service fees:
Eligibility criteria for services or membership:
Affiliations:
Branches in other communities:
Professional accreditation/certification:
Annual general meeting date:
Please note: This information will be available to the public on the Regional Directory website.