Huron Perth Healthcare Alliance - Emergency Department

Application: Emergency Department - SGH

Please remember, applicants must be 16 years of age or older to apply for this volunteer position

Contact Information

*Name:

*Address1:

*City:

*Province:

*Country:

*Phone:

ext.

*Email:

Volunteer Experience

*Are you currently a volunteer for another organization or have you volunteered in the past?:

Are you currently a volunteer for another organization or have you volunteered in the past?

Yes

No

If yes, please list the organizations you have volunteered for and briefly describe your position (s).:

Availability

*What is your general availability? Please check all that apply.:

What is your general availability? Please check all that apply.

Weekday mornings

Weekday afternoons

Weekday evenings

Weekend mornings

Weekend afternoons

Weekend evenings

General Information

*Why would you like to volunteer at the Huron Perth Healthcare Alliance?:

*Tell us about your interest and hobbies.:

*Do you speak any languages other than English?:

Do you speak any languages other than English?

Yes

No

If you speak any other languages, other than English, please list them here.:

*How did you hear about this volunteer opportunity? Check all that apply.:

How did you hear about this volunteer opportunity? Check all that apply.

From a current volunteer

From a friend/family member

Hospital experience

HPHA website

Newspaper ad or article

Radio

Social Media - HPHA, Auxiliary or Foundation page(s)

Other

Please note: Not all persons who apply to become a volunteer may be selected.

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Emergency Department - Stratford General Hospital

Application: Emergency Department - SGH

Contact Information

Volunteer Experience

Availability

General Information

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