Perley Health - Volunteer Application Form

Only candidates selected for an interview will be contacted. At the interview, we will provide a letter so you can complete a Police Record Check for Service with the Vulnerable Sector. Volunteers under 18 years of age are required to complete an offence declaration, signed by a parent or guardian. As a successful applicant, you will then need to complete a Tuberculosis Screening Assessment, and the Perley Health Volunteer Services team will conduct references checks. All new volunteers must attend a 3.5-hour orientation session and commit to a minimum three months of volunteer service (except for the Summer Youth Program in July and August).

Please note we are no longer accepting applications for the 2024 Summer Youth Program. We are currently welcoming applications from high school students for co-operative education placements starting September 2024 or evening & weekend volunteering during the school year. For more information, please call 613-526-7171 ext. 2305 or email volunteer@perleyhealth.ca

Volunteer Application Form:

First Name:

Last Name:

Email:

Address:

City:

Province:

Postal Code:

Mobile Phone:

Emergency Contact Information:

Contact Name:

Contact Phone:

Applying For:

What type of Volunteer Experience are you interested in? Please refer to our list of opportunities.

Please describe any special skills, training, hobbies or interests you may have.

Languages spoken, other than English?

How did you hear about volunteering at the Perley and Rideau Veterans' Health Centre?

If "Other," please explain:

Please provide 2 references (Work, Organization Membership, Professional, School, Etc.)

Reference 1

Name:

Relationship:

Phone:

Email:

Reference 2

Name:

Relationship:

Phone:

Email:

Do you expect your availability to change? Please explain.

I authorize The Perley and Rideau Veterans’ Health Centre to collect my personal information appropriate to the volunteer position applied for concerning my employment/volunteering history, and to verify the character references supplied. I understand that this information will be confidential but may be shared with relevant organizations in order to obtain an appropriate volunteer position.

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