Volunteer Application

First Name:

Last Name:

Home Address:

City:

Postal Code:
Home Phone Number:

Mobile Phone Number:

Other Phone Number:

Email:
Emergency Contact Name:

Relationship:

Home Phone:

Mobile Phone:
What motivated you to apply for a volunteer position at Oak Ridges Hospice and what are you hoping to gain through this experience?:


Please detail any previous volunteer experience?


Please detail any certificates or special training related to Hospice/Palliative Care?


Please detail any skills and abilities that may be beneficial to our organization


Please detail any talents/hobbies you could share with our organization?


Do you speak any other language?

What type of client-serving volunteer roles are you interested in?


What type of administrative volunteer roles are you interested in?


Available to serve:
   Sun   Mon   Tue   Wed   Thu   Fri   Sat 
Morning
Early Afternoon
Late Afternoon
Evening
Overnight Respite      


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