Online Volunteer Application Form Application Type AdultStudentPatient Advisor Your Name - First & Last* (required) Telephone Home Birthdate (confidential) Telephone Cell Street City Province (required) Postal Code Your Email Emergency Contact Telephone Home Relationship Telephone Work Which of our hospitals would you like to volunteer at? MarkdaleMeafordLion's HeadOwen SoundSouthamptonWiarton Languages Spoken EnglishFrenchOther Please specify other language: I am currently Employed full-time or part-timeSeeking Employmenta homemakera full-time studenta part-time studentretiredother Please list current position and company or previous position and company. Skills ClericalComputerSewingKnittingBusinessPeopleSalesCustomer Service Other skills: Previous Volunteer Experience Health Problems / Limitations I will commit to: 6 Months1 Year + I want to volunteer at the hospital to Help othersMeet peopleLearn new skillsExplore career opportunitiesKeep busyEducational requirementsPersonal satisfactionShow appreciation for help received Other: I am able to volunteer MorningAfternoonEvening I am able to volunteer MondayTuesdayWednesdayThursdayFridaySaturdaySunday I heard about volunteering at the hospital from: Hospital staffThe libraryHospital volunteerSchoolVisiting hospitalLocal newspaper Other: Have you ever been convicted of a criminal offense for which you have not received a pardon? YesNo If yes, please explain: Student Volunteers: Volunteer opportunities for full or part time students are available in either our school year program (October – May) or summer program (May – August). Due to limited placement opportunities during the school year, preference is given to students in grade 11 and up. Most student volunteer opportunities require a minimum commitment of 2-4 hours per week. Commitment / Consent: I agree to comply with Volunteer Resources’ requirements and policies as outlined in the Welcome Package and my Position Description. I will be punctual and carry out my duties to the best of my abilities. I will notify my Convenor/Staff Liaison of any necessary absence from my Service as far in advance as possible. I will return my badge and uniform when I am no longer a Volunteer. I am willing to have my name and telephone number shared with fellow volunteers, as required. I am willing to adhere to my commitment. NOTE: All volunteer information is held in strict confidence and will be used only to match an individual to a suitable position, in the collection of statistical information or in trending studies. Acknowledgment of statement above: I Agree This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting…