Please complete this application form if you are interested in becoming a Hôtel-Dieu Grace Healthcare volunteer. Once you complete the form, click the Continue button at the bottom.

After submitting your application, please submit two reference forms which can be downloaded from the Hôtel-Dieu Grace Healthcare website. Once all three items are received you will be invited to interview with the Manager.

Name and address

Email Preferences

We like to keep volunteers informed of important news, special requests, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

Emergency Contact

Education Information


Volunteer Experience

Type of Volunteer Service Desired

Please check all that apply.

Reason for Volunteering

Please check all that apply.


Please indicate the days and times you are usually available to volunteer.

Statement of Understanding

I certify that the statements made in this volunteer application are true and correct, and have been made voluntarily. I understand that this information may be disclosed to any party with legal and proper interest, and I release the agency from any liability whatsoever for supplying such information. I understand that as a volunteer of Hôtel-Dieu Grace Healthcare, I will not be paid for my services.