Please complete this application form if you are interested in becoming a volunteer at Brockville General hospital. Once you complete the form, click the Continue button at the bottom of the page to submit your application.
Questions marked with an * must be completed before submitting the application. Thank you.
You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.
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.
Where would you be interested in volunteering in the hospital? Tick the boxes below that apply to you.
Tick the boxes below to let us know what experience and skills you have.
If you speak another language, would you be willing to assist a patient in that other language? If yes, please indicate which language(s):