Volunteer Request Form

* indicates a required field.

Location * Division * Program *	Date Of Request May 24th, 2025
Email of Staff Requesting for Volunteer(s) * The Volunteer Development team will contact you to follow up on your request. Volunteer Position * If this volunteer position is not on the list above, please briefly describe this role and its duties. Volunteer Position Description/Duties

Knowledge / Skills / Qualifications Required

Required Languages

Are computer skills required? *

Yes No

Note: TB screening is required for volunteer positions on-site in the LTC.

Is TB screening required? *

Yes No

Note: Vulnerable Sector Screening is required for volunteer positions in the LTC and the hospice, and for Friendly Visitors/Callers in the community.

Is Vulnerable Sector Screening required? *

Yes No

Is a driver's license in Ontario and access to a vehicle required? *

Yes No

Other Skills Required

Type of Volunteer Request and Duration

Type of Position *

One Time Monthly Recurring Weekly Recurring

Example: 2 hours

Duration Of Shift

Start Date

End Date

Please enter the number of volunteer(s) needed for the time slot

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Breakfast
Morning
Lunch
Afternoon
Supper
Evening

Other Remarks

The volunteer team will strive to find the volunteer(s) as requested. Mandatory procedures such as TB test/police check and seasonal fluctuation of volunteer availability may delay the process.