Groves Hospital Volunteer Application Form

Please complete this application form if you are interested in becoming a Groves Hospital Volunteer Association volunteer. Once you complete the form, click the Continue button at the bottom.

Personal Data

First name:

Last name:

Street 1:

Street 2:

City:

Province:

Postal Code:

Home phone:

Cell phone:

Email address:

Date of birth:

(year optional)

Emergency Contact

First name:

Last name:

Cell phone:

Email address:

Relationship:

Email Preferences

We like to keep volunteers informed of important news, schedules, 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.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Volunteer Experience

If you have had any previous volunteer experience in the past, please describe your experience.

Volunteer Positions

Current available positions

In-Hospital - Wayfinding/Info Desk, Hospital Elder Life Program (HELP), Emergency Info Desk, Patient Care - Diagnostic Imaging, Gift Shop, Patient Care Day Surgery

Please list all positions that interest you.

Education and Training

Other training, courses or certification:

Employment Experience

Are you currently employed, if so what is your occupation?

References

Please provide the names of 2 persons who can supply information pertinent to your performance (excluding relatives).

1

2

First name:

Last name:

Home phone:

Email address:

Relationship:

Availability

Please select the days/times you are available to volunteer:

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

I Agree