Individual Volunteer Application

As of January 1, 2022, we require all Foundation volunteers to be fully immunized. Full immunization means you’ve received two doses of a COVID-19 vaccine approved by Alberta Health and a minimum of 14 days has passed since the second dose.

Please complete this application form if you are interested in becoming a Stollery Children's Hospital Foundation volunteer and are fully immunized. Please email your PDF proof of immunization to: volunteerforms@stollerykids.com

Name and address

First name:

Last name:

Title:

Street 1:

Street 2:

City:

Province:

* Postal code: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Twitter or Instagram:

Emergency Contact

First name:

Last name:

Prefered Contact phone:

* OK to call here

Relationship:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

Gender:

T-Shirt size:

Age Range:

Volunteer Affiliation

* Affiliation:

General Volunteer

Stollery Story Squad

Stollery Women's Network

Skills and Interests

References (Non-Relatives)

1

2

First name:

Last name:

Title:

Street 1:

Street 2:

City:

Province:

Postal code:

Prefered Contact phone:

* OK to call here

Prefered Contact phone:

* OK to call here

Email address:

Volunteer Experience

Please tell us about any volunteer experience you may have

1

Please tell us why you want to volunteer with our Foundation and what you hope to gain from your experience.

2

Please tell us about any of your education, work or volunteer experience that would be relevant to the volunteer role you are applying for.

3

Do you have a Stollery Story you would like to share?

4

Are you fully immunized? Please indicate 'yes' or 'no' then email your PDF proof of immunization to: volunteerforms@stollerykids.com This is a requirement for our program as of January 1, 2022. Once we have received your immunization record, you will be contacted regarding your application.

Email Preference

In order for the Foundation to communicate with you via email, including sending electronic news and information, we require your expressed consent to ensure we are in compliance with the government’s anti-spam legislation. For more information, please visit fightspam.gc.ca.

What kinds of email would you like to receive?

Monthly Email Newsletters

Volunteer Opportunities

I understand and agree that submitting this application form does not automatically register me as a Stollery Children's Hospital Foundation volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

I Agree