New-to-You Store Volunteer Application Form

Hospice Halifax is launching a new-to-you retail store this fall. It's our social enterprise, which means 100% of the store's net revenue will be supporting the operations at Hospice Halifax. This new opportunity provides many new ways to volunteer with our organization! If this interests you, particularly if you have previous experience in a retail setting, indicate your experience and preferences below.

Your Name

First name:

Last name:

Address

Street 1:

Street 2:

City:

Province:

* Postal code: *

Contact Information

Home phone:

Cell phone:

Email address:

Emergency Contact Information

First Name Last Name:

Home phone:

Cell phone:

Email address:

Relationship:

Your Motivation to Apply

What motivated you to apply for this volunteer opportunity?

Skills and Work Experience

Please indicate your skills and previous work experience:

Areas of Volunteer Interest

Please tell us in which areas of the store you'd like to volunteer:

* Area Preference:

Back of Shop [The Compassionate Closet]

Front of Shop [The Compassionate Closet]

Tasks and Ability

Some of the tasks in the store will require, but aren't limited to, lifting, standing, twisting, reaching, and squatting. Do you have any physical or medical restrictions that may influence tasks you can complete? If yes, please describe:

References

1

2

First Name Last Name:

Home phone:

Work phone:

Cell phone:

Email address:

Relationship:

Volunteer Information Session

Please select one of the options below to sign up for one of our Volunteer Information Sessions. These are part of our Orientation when becoming a volunteer with our organization.

My Application

We make every effort to match potential volunteers with roles that fit their interests and skills. Sometimes, Hospice Halifax needs to decline an application. As a potential volunteer, I agree that:

--I understand this organizational approach

I Agree

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