Humber River Health

Application for Volunteer Service - Year Round Program

Thank you for your interest in the Volunteer Program at Humber River Health! We will contact applicants for an interview whose interests and availability match our openings. Applications will be kept on file for 6 months after which time applicants are welcome to reapply. Please note that submitting an application does not guarantee a placement.

My Information:

Volunteer type

* First name

* Family/last name

* Address including Unit or Apt.

* City

* Province

* Postal Code

Phone (Home)

Phone (Mobile)

Phone (Business)

* Email

Additional languages spoken

I identify my gender as:

Are you at least 16 years of age or older? *Must be at least 16 years of age at the time of applying*

Date of Birth - MM/DD/YEAR (optional)

Please choose an age range:

16 - 25

26 - 35

36 - 45

46 - 55

56 - 65

65 & over

Do you have any special considerations or limitations that you would like us to be aware of?

Have you ever been convicted of a criminal offence for which a pardon has not been granted?

* Emergency Contact Name

Relationship to you

* Phone

I Want to be a Humber River Volunteer Because:

* Please share your reasons for wanting to join the Volunteer Program at Humber River Health:

* Please indicate the skills and qualities you wish to share:

* As a Humber River Volunteer how would you enhance the experiences of our patients?

My Availability:

Volunteers commit to one 3 - 4 hour shift per week on a set, regular schedule for a minimum of one year. The availability options listed below are guidelines; actual start and end times will vary depending on the volunteer role.

Please check ALL of the days and times that you would be available for volunteer service. Be sure to consider other commitments you may have such as school, work, etc.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

I am Interested in Helping With:

Inpatient Units: visiting & comforting patients, recreation activities, mealtime assistance (Location: Wlison or RCC Sites)

Outpatient Clinics: welcoming & escorting patients, visiting patients in treatment, liaise with families (Location: Wilson Site)

Visitors & Public: providing information & directions, welcoming & escorting patients/families/visitors (Location: Wilson Site)

Retail Services: Gift Shop (Location: Wilson Site)

Speciality Services: talent sharing (i.e. music, art, etc.) (Location: Wilson or RCC Sites)

I want to volunteer at (first choice):

I want to volunteer at (second choice):

I Heard About Volunteering at Humber River By:

Volunteer source

My Current & Previous Experiences:

I am currently:

Current Experience:

Work

Volunteer

Organization:

Position:

Dates:

Brief Description of Duties:

Previous Experience:

Work

Volunteer

Organization:

Position:

Dates:

Brief Description of Duties:

My Education:

I am currently a student:

I am in:

School/Institution:

Grade/Major/Field of Study:

My References

Applicants who are invited to an interview will be asked to provide 2 professional references. A professional reference may include: employer, manager, teacher, professor, supervisor or instructor. Please note a referee cannot be a family member, friend or co-worker. The referee must know the applicant for a minimum of 6 months or more. Reference forms will be provided to applicants during the interview phase of the application process.

I Agree to the Following:

I understand that by submitting an application it does not guarantee a volunteer placement

I understand that if I am accepted into the Volunteer Program that I will uphold the hospital's core values of compassion, professionalism and respect

I understand that if I am accepted into the Volunteer Program that I will uphold the hospital's privacy and confidentiality standards

I understand that if I am accepted into the Volunteer Program I will comply with all health assessment requirements including providing proof of full vaccination against COVID-19 and that any costs associated with the completion of my health assessment is my responsibility

I understand that Humber River Volunteers are expected to have regular attendance and I will uphold the required time commitment of the program

I understand that if I am accepted into the Volunteer Program that I will commit to enhancing the experiences of our patients, families and staff

I have provided true and accurate information on my application and I understand that the information I have provided will be kept confiidential

* Signature:

Date:

Parental/Guardian Signature (required for applicants under age 18):

Date:

You will recieve an email confirming receipt of your application for volunteer service. If you do not receive an email, please check your junk mail. Please click the "Save" button to submit your application.