Please complete this application form if you are interested in volunteering with Providence Care. Once completed; click the submit button at the bottom.


Name and address


Emergency Contacts

Please enter at least one person we can contact in the case of an emergency.



Languages

Please indicate which languages you are able to speak.



Contact information for site specific questions

St. Mary's of the Lake Hospital and Mental Health Services: 613-548-7222 ext. 2292



Agreement & Confidentiality-please read carefully

By checking this box, you are in agreement to Providence Care Hospital having access to your personal information and are requesting an interview to further look at your application.


You also understand and agree the organization may release application form and documentation from my present/previous employer and/or educational institution(s) and/or volunteer placement (Providence Care sites, Kingston General Hospital, or Hotel Dieu Hospital). It is understood that any information that is given is to be used for the purpose of volunteer placement.


IN ADDTION, PLEASE READ BELOW:


During your volunteer work you may aquire certain information that is considered confidential.


By checking below you agree that you will not disclose such information. Doing so may result in termination of volunteer duties with Providence Care.