Public Announcements: Newsletters, Maps, Welcome Book and More Updated 3/9/2017

The Perley and Rideau Veterans' Health Centre

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Volunteer Application Form


We welcome your interest in volunteering at Perley Rideau. Our Volunteer Services staff interview all applicants who complete the Volunteer Application available on this website. Knowing the interests, skills, and availability of each applicant is essential to match a volunteer to a position or task. All listed references are contacted.

After the interview, volunteers are required to commit to a minimum of three months of volunteer service (except for the summer youth program that runs in July and August), submit a recent Police Record Check, complete a Tuberculosis Screening Assessment, and attend a 3-hour orientation session.

For more information, please contact Rachel Stoparczyk at 613-526-7171 ext. 2356. You may use the form below to apply on-line. Your information is submitted directly to  Volunteer Services and you will be contacted shortly.

Please provide the following contact information:

Name:

Email:

Address:

City:

Province:

Postal Code:

Phone:

 
 

Emergency Contact:

Emergency Phone:


Do You Have Previous Volunteer Experience?

If yes, please describe:

What type of Volunteer Experience are you interested in?

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

Do you speak any languages other than English?

If yes, please describe:

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



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

Reference 1

Name:

Relationship:

Work Phone:

Email:





Reference 2

Name:

Title:

Organization:

Work Phone:

Email:

 

I am currently:






I am available:









Tell us a little about the Time of Day/Evening you would be available.


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