Volunteer at Roger Neilson Children's Hospice!

Volunteer Application Form - Roger Neilson Children's Hospice

Thank you for your interest in volunteering with Roger Neilson Children's Hospice. Volunteers play a vital role in the delivery of our services. All volunteer applications are reviewed in consideration of current volunteer opportunities. Please note: This form will remain on file at Roger Neilson Children's Hospice. All volunteer information and files are kept confidential and are only available to authorized hospice staff such as supervisors of volunteers and trained office help volunteers who have signed a confidentiality agreement. Roger Neilson Children's Hospice is committed to providing appropriate protection for your personal data. Data collected on this volunteer application form may be used by Roger Neilson Children's Hospice to consider your application for volunteer engagement, and to communicate with you with respect to your application. Once you've completed and submitted the application form (clicking "SAVE" will send your application to us), you will receive an email confirmation of your application and be presented with further instructions and information.

PLEASE ALSO SUBMIT YOUR CV / RESUME

We'd like to get to know you better! Please don't forget to send your CV / resume to: volunteers@rogerneilsonchildrenshospice.ca

PERSONAL INFORMATION

* First name

Middle name

* Family/last name

* Date of birth (MM/DD/YY)

* Languages Spoken

* Address

Unit/Apt # (if applicable)

* City

* Province

* Postal code

* E-mail

Mobile phone

Home phone

Work phone

EMERGENCY CONTACTS

* Contact 1 name

* Relationship

* Address

* City

Mobile phone

* Home phone

Work phone

* E-mail

* Contact 2 name

* Address

* City

Mobile phone

* Home phone

Work phone

* E-mail

BACKGROUND

* What has motivated you to volunteer at Roger Neilson Children's Hospice at this time?

Volunteer source

Are you presently volunteering with another organization?

If yes, where?

Do you have previous experience as a volunteer?

If yes, please expand.

* Do you have experience working with children? If yes, in what capacity?

* What, if any, experience do you have working with children who have a physical or mental disability?

* What professional or other experience have you had that will assist you in the role for which you are applying?

* What hobbies, skills, interests, or credentials do you have that might benefit you in your volunteer role? I.e. first aid training.

Select any of the following you have had:

DESIRED VOLUNTEER ROLE(S)

Primary

Skills (select all)

Authorization and Consent:

I give permission to Roger Neilson Children's Hopsice to collect personal information appropriate to the position I'm applying for and to verify the character references I submit. I understand and agree that, to the best of my knowledge, the information I have provided is complete and accurate in every respect.

As an organization, Roger Neilson Children's Hospice values the health and safety of its patients, families and staff. In order to achieve a high standard of health and safety I understand that my opportunity to volunteer at Roger Neilson Children's Hospice would be conditional upon satisfactory confirmation of tuberculosis testing (if applicable based on screening questions) and confirmation of COVID vaccination.

I submit this application for a volunteer position with Roger Neilson Children's Hospice. I understand I must watch and confirm viewing of the Volunteer Information Session prior to an interview. I understand that I may not be accepted for an interview. If I am interviewed, I understand that I may not be accepted as a volunteer. I understand that a successful reference check and a police records check for the vulnerable sector form part of the screening process in becoming a volunteer. I agree that Roger Neilson Children's Hospice may at any time, for just cause, decide to terminate a volunteer's engagement with Roger Neilson Children's Hospice.

* I have read and understood the above authorization and consent statements.

* I agree with the above authorization and consent statements and permit Roger Neilson Children's Hospice to proceed with their volunteer screeing and selection process.