Welcome to Soldiers' / Apply Here
* = Required Fields
APPLICATION FOR VOLUNTEER PLACEMENT
 
Last Name: * First Name: *
Address: * Phone: *
City:* Postal Code:*
Province: *  
Present Occupation:
Business Address: Phone:
Previous Work Experience:
Education/Training Backround:
Your Interests and/Or Skills:
Volunteer Experience: What, When, Where:
Are you physical able to carry out the duties of a volunteer at Soldier's Memorial Hospital:
   
Extensive Walking                
Stand for Periods of Time                
Sit for Periods of Time                
Push/Pull Wheelchair, Cart                
Lift Young Child                
Carry Tray of Items                
Languages Spoken in Addition to English:
Time(s) Available Mon. Tues. Wed. Thurs. Fri. Sat. Sun.
Morning
Afternoon
Evening
Holidays
 
REFERENCE CHECK
 
The Policy of Orillia Soldiers’ Memorial Hospital requires all volunteers to supply references.
 
Please list below the names, full addresses and telephone numbers of three references, none of who are relatives.
Name Address Telephone#
 
I hereby authorize the Volunteer Services Department at Orillia Soldiers’ Memorial Hospital to contact references to aid in determining my suitability for volunteer placement at Orillia Soldiers’ Memorial Hospital. I Understand that any information obtainer will be considered confidential.
 
 
Date: Saturday, February 04, 2012
 
Integrity, Caring, Respect, Participation, Accountability.
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