Thank you for your interest in volunteering at the Michael Garron Hospital

Ina Grafton Gage Home Volunteer Application

Requirements for joining the Ina Grafton Gage Home Volunteer Program

Complete an online application form.
Provide two references.
Submit full immunization and two-step TB skin test documentation.
Must submit a Vulnerable Sector Check if you are aged 18 or older.

Personal Information

* First name

* Last Name

* Date of Birth

Address

* Street Address

Unit/Apt/Suite

* City

* Province

* Zip/postal

Contact Information

Phone (Home)

Phone (Mobile)

Phone (Business)

* E-mail

Emergency Contact Information

* Contact name

* Relationship To Applicant

* Phone (Home)

Phone (Mobile)

Phone (Business)

E-mail

Employment

Are you currently employed?

Name of Organization

Current Position/Title

Start Date (MM/YYYY)

Education

Highest Level of Education Completed

Are you currently studying?

What academic institution are you attending? (if currently studying)

Volunteer Experience

Do you have any previous volunteer experience?

Name of Organization

Volunteer Role

Volunteer Responsibilities

References

Note: Family members may not be used as a reference. To ensure that your application is complete, please provide us with a valid e-mail address for each reference.

Reference #1

* First Name

* Last Name

* Relationship to Applicant

* Email Address

Reference #2

* First Name

* Last Name

* Relationship to Applicant

* Email Address

Additional Information

* I am entitled to work in Canada.

* I consent to a criminal background check, conducted and paid for by the hospital.

* I declare that all information provided in this application is true and meets the requirement of the program.

How did you hear about our volunteer program?

If 'Other' was selected, please specify:

I understand that all information is held in the strictest confidence and will only be used to match an applicant to a suiable voluteer position, in collection of statistical information or in trending studies.

Thank you for filling out an application! Applications will remain on file for a six-month period and applicants will be contacted based on vacancies and applicant availability.
Please note that due to the high volume of applicants, we are unable to follow up with each applicant individually.
To complete the application process, please submit your application by clicking on 'Save' button below.