INVEST YOUR TIME, YOUR TALENTS & YOUR HEART

Online Volunteer Application Form

Volunteer Application Form

Please fill in the following application. Information provided will only be used by authorized Red Deer Hospice Society representatives to complete the volunteer screening process. Successful candidates will be required to provide a Criminal Record Check and Vulnerable Sector Check

Contact Information

Name(Required)

Address(Required)

What is the best time to reach you?

Emergency Contact Information


Training, Experience and Skills

Max. file size: 300 MB.
Please list relevant training including formal education and other volunteer training courses.
Please list your experience and indicate if it was employment of volunteer.
Please list any licenses, certificates and special skills you are willing to use as a volunteer. (ex. First Aid, Drivers License, languages)

Availability

When are you typically available to volunteer? (Please check all that apply.)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Additional Questions

For example: allergies, back, poor vision or hearing, etc.
If yes, please include how long ago the loss occurred and what relationship the person was to you.

References

Please provide Name, Contact and Relationship information for two references.
Reference #1 | Name(Required)
Address(Required)

Reference #2 | Name(Required)
Address(Required)


You must read and agree to the following before submitting your application:

1. I understand that the information provided in this application to volunteer with the Red Deer Hospice Society is part of the volunteer permanent file at the Society's office. It will be kept confidential and only be used to assist in completing the volunteer screening process and in matching me with Hospice Clients.

2. I understand that if I am accepted as a Volunteer with the Red Deer Hospice Society, I am committing to attending education and training sessions for volunteers provided by the Society. Please note: completion of training does not guarantee continued volunteer involvement in a client-related capacity.

3. I agree to abide by the Policies and Norms of Practice of the Red Deer Hospice Society.

4. I hereby certify that all information included in this application is true and complete. I give permission for an Authorized Society representative to conduct reference checks with the above named referees and release the Red Deer Hospice Society and all others from liability in connection with the same.

Agreement of Terms(Required)
This field is for validation purposes and should be left unchanged.