Thank you for your interest in joining our dedicated team of volunteers. The personal information collected in this form is used to help us run our Volunteer Program. The information is held in strict confidence and is used to match your interests and needs to volunteer activities. Contact information may be given to staff or other approved volunteers to contact you for volunteer opportunities.

Fields requiring a response will be marked with an asterisk*. Please click the 'Continue' button at the bottom of the form when you are finished.

Contact Information

We like to keep volunteers informed of important news, schedules and volunteer opportunities. Please provide your contact information below along with your preferred method of contact.


Tell us a little more about yourself!



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


Please provide the contact information for two references. They will be contacted as part of your application to volunteer with Grand River Community Health Centre. Please do not use a family member, primary care provider, counselor or any professional you see on a one to one basis.

Emergency Contact Information


I hereby authorize Grand River Community Health Centre to contact my listed references. I understand my information will be housed in the online Volgistics database. I acknowledge that all information listed here is true to the best of my knowledge.