Thank you for your interest in volunteering with Heart House Hospice!  Please complete this application form if you are interested in becoming a volunteer. Once you complete the form, click the Continue button at the bottom.

Please note that we are currently providing volunteer services in Mississauga only!  If you live outside of Mississauga, submit a volunteer application and are selected to proceed with training, you must be willing to provide in-person service in Mississauga.

Please note also that becoming a hospice volunteer requires the completion of a 30 hour training program, which we offer in the spring and the fall.


Contact Information


Personal Profile


Emergency Contact Information


Loss History

If you have experienced a significant death or deaths, please provide details below.



Education

Please skip this section if you are not currently a student.



Employment Information


Volunteering Information


Interests and Availability

Please indicate your availability, and all of the volunteer roles that are of interest to you.



References

Please provide name, contact phone number and relationship for a reference who has known you for more than 2 years.  This reference will be contacted prior to any training. During training, you will be asked to submit an additional written reference from another person who has known you for more than two years, as well as a police reference check. These requirements will be discussed further during training.



Waiver

I confirm that the above information is complete and accurate. I understand that falsification of the information provided in this application may disqualify me from volunteer service. I understand  that the information in this application will become part of my file at Heart House Hospice, and that information will be kept strictly confidential. 

 

I understand that submission of this application and completion of any interviews or training do not constitute my acceptance as a volunteer with Heart House Hospice, and that decision about my acceptance will be made following a post-training interview.