PROFILE INFORMATION

Please complete the application form if you are interested in becoming a volunteer at the Queen Elizabeth Hospital.



DEMOGRAPHIC INFORMATION

This information is only used to get a better idea of the demographic makeup of our volunteers.



WORK AND VOLUNTEER EXPERIENCE

Please describe any related work and/or volunteer experience.



HOBBIES AND INTERESTS

List your special skills, hobbies and interests.



WHY DO YOU WISH TO VOLUNTEER?

Please indicate why you are considering volunteering.



EMERGENCY CONTACT

Please provide information for a contact person in case of an emergency.



REFERENCES

Please provide contact information for two references not related to you and that have known you for more than 12 months.



AVAILABILITY


HEALTH

Do you have any health restrictions that might affect you as a volunteer at the hospital?



INFORMATION STORAGE

I consent to having my volunteer information stored on the Volgistics volunteer management system which is external to Health PEI.