Volunteer Resources | Hamilton Health Sciences

Thank you for applying to Hamilton Health Sciences. Due to the high volume of applications being received, please indicate on the application form if you are interested in volunteering at another site.

Hamilton Health Sciences | Volunteer Application Form

HHS Application Form
Requested site
Are you willing to volunteer at another site if your first choice isn't available?
Yes
No
If yes, please list your 2nd and 3rd preference below
#2 Hospital Preference (optional)
#3 Hospital Preference (optional)
#4 Hospital Preference (optional)
#5 Hospital Preference (optional)
Basic Information
First name
Last name
Volunteer source
Who referred you?
Birth date (DD/MM/YYYY)
Gender
Home Address
Address
Apt/Unit
City
Zip/postal
Province
E-mail
Home phone
Work phone
Mobile phone
Secondary Address
Apt/Unit
Street
City
Province
Postal Code
Home phone
2. Reason for volunteering
Have you ever been convicted of a criminal offence for which a pardon has not been granted?"
Yes
No
Education
Volunteer Type
(If not a student, please leave education information below blank)
School
Course enrolled in:
Grade/level
1. What type of volunteer role would you prefer?
2. What special skills or talents do you have?
3. What is your reason for becoming a volunteer at HHS and how will this experience benefit you?
Other Languages Spoken
Please select any area that you are interested in volunteering in
6. Do you have proof of Vaccinations? (Measles, Mumps, Rubella, Varicella, TB Testing)
Yes
No
7. Availability: days of the week and time
Do you have summer time availability?
Yes
No
Confidentiality
Patient's medical information is strictly confidential and must never be discussed unnecessarily with others.
As a member of HHS, all information concerning patients, family, visitors and staff will be held in confidence.
Disclosure of confidential information shall be subject to discplinary action up to and including discharge.
Agree
Disagree
Emergency Contact
Contact name
Phone
Acknowledgement of Application Process
I understand that by submitting my application form, I may be considered for a volunteer placement at
Hamilton Health Sciences. Due to the high volume of applications received, I understand if I have not been contacted
by my first choice hospital, I may be contacted by my 2nd and 3rd choice hospital as I indicated on my application.
I understand that if I have not been contacted by Volunteer Reources within 3 months of applying, I will be required
to reapply.
Agree
Were you able to view the PDF e-information session?
Yes
No
Electronic Signature:
Date:
Comments: