Become a Volunteer

SRCHN Volunteer Application Form


HISTORY: VOLUNTEER, EDUCATION, TRAINING, SKILLS, EMPLOYMENT

EDUCATION & TRAINING

ABILITIES AND SKILLS

EMPLOYMENT


AVAILABILITY


REFERENCES

Please provide 2 references (not relatives or friends) who have known you for at least 6 months (Please inform your references they will be contacted)


PARENT/LEGAL GUARDIAN CONSENT (applicants 16 years old and under)

I give my child, permission to volunteer with the Sooke Region Communities Health Network  


Please read the following carefully before signing this application: By signing, I confirm that the information in this volunteer application is complete and true. I understand and agree that any omission or misrepresentation may be cause for refusal of volunteer placement. I understand that a Criminal Record Check is required for all positions. I authorize Sooke Region Volunteer Centre/ Sooke Region Communities Health Network to contact the references listed and give permission to these references to release relevant information requested.

I also understand that by signing this volunteer application form, Sooke Region Volunteer Centre will keep a record of my personal information on site and that it will remain confidential to Sooke Region Volunteer Centre and Sooke Region Communities Health Network.  I understand that this information may be disclosed to any party with legal and proper interest, and I release Sooke Region Volunteer Centre and Sooke Region Communities Health Network  from any liability whatsoever for supplying such information.

THANK YOU!

Thank you for applying to volunteer with

Sooke Region Volunteer Centre/ Sooke Region Communities Health Network


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