Please complete this application form if you are interested in becoming a Concordia volunteer. Once you complete the form, click the submit button at the bottom.

Contact Information

Emergency Contact

Employment History

Volunteer Work

Please list organizations that you currently are volunteering for or have volunteered for in the past including: community clubs, schools, religious organizations, professional associations, non-profit organizations, sporting organizations, etc.


Formal education is not required to be a volunteer. We welcome experience of all kinds!


Please check the preferred time period(s) that you are available to volunteer. Please specify the times you would arrive for your shift adn then have to leave.

Assignment Preference

Check the following assignments that interest you:

Skills and experience :

Please check the skills and experiences you have to offer:


Please check the languages that you can communicate in:

Main reason for volunteering:

Please check the reason(s)you would like to volunteer:

How did you find out about our program?

Please check the reason(s) you found out about our program:


If you wish to have anything further to be taken into consideration when determining a volunteer placement (for example: mobility issues, back problems, or allergies), you may list those issues in the space provided:

References & Disclaimer

If you are interviewed as a potential volunteer, you will be asked to provide three (3) references. Please note that references from family members or from personal friends will not be accepted, unless you were employed by them.

By submitting this application, I agree that the information I have provided on the form is true and accurate. Furthermore, I understand and agree that submitting this application form does not automatically register me as a volunteer. It is the policy of Concordia Hospital Volunteer Services to screen all prospective volunteers. While we try to place every prospective volunteer, management reserves the right to decline applicants who do not meet our requirements and/or placement criteria. I consent to this information and information about my volunteer work with Concordia Hospital to be maintained on the Volgistics website and absolve and release Concordia Hospital from all and any liability that may otherwise accrue by reason of keeping this information on the Volgistics website and using this information for Concordia Hospital purposes.