New to You Volunteer Application Form

Groves Hospital Volunteer Association supports Groves Memorial Community Hospital through its volunteers services and programs.

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.

** GHVA Vaccine policy requires, 2 doses of Covid-19 to volunteer **

Personal Data

First name:

Last name:

Street 1:

Street 2:

City:

Province:

Postal Code:

Home phone:

Cell phone:

Email address:

Birthday:

Volunteer Experience

Please describe any previous volunteer experience.

Hobbies/Interests

What are some of your hobbies or interests?

Emergency Contact

First name:

Last name:

Cell phone:

Email address:

Relationship:

Availability

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

Service Areas

What area of volunteer service are you interested in from the following list?

Presort – Receive and distribute donations
Sorter – Sort donations in various departments as instructed
Floater – Perform duties as assigned by management
Cashier/Packer – Processing the purchase of merchandise transactions

Please list all positions that interest you:

Criminal Offence

Have you ever been convicted of a criminal offence for which a pardon has not been granted?

If Yes, please provide details.

Refrences

Please provide the contact information of two adults who can supply information related to your work performance and character. Please do not use family members.

1

2

First name:

Last name:

Home phone:

Email address:

Relationship:

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