Volunteer Application Form - fill out this form if you are interested in volunteering at the Office, Thrift Store or for one of our Community Events.  If you are interested in volunteering as a client & patient volunteer, please click the Volunteer tab above and select 'Client & Patient Volunteer Application'

 

* First Name
* Middle Name
* Surname
* Address
Address
City Postal/Zip Code
Country Province/State
* Date of Birth
/ /
* Home Phone
- -
Other Phone
- -
* Email

Would you like to be added to the Chilliwack Hospice Society email list to receive information about upcoming education training and events?

*
  • Yes
  • No

I grant permission for photographs/videos, written evaluation comments, or interviews to be used for educational purposes and/or to promote the Programs and Services of the Chilliwack Hospice Society.

* I Agree
  • Yes
  • No
Emergency Contact Name
Emergency Contact Phone
- -
Other Phone
- -

I am interested in volunteering in the following areas:

*
  • Thrift Store
  • Events
  • Fundraising
  • Office Support
  • Maintenance
  • Client and Patient Volunteers (training required)
* Work Experience
* Volunteer Experience in the past five years

REFERENCES: 3 are required - 1 from your current or most recent employer/supervisor; and 2 people who are not immediate family and who have known you for at least three years.

Reference 1

* Name
* Relationship
* Phone Number
- -

Reference 2

* Name
* Relationship
* Phone Number
- -

Reference 3

* Name
* Relationship
* Phone Number
- -