Volunteer Form

Your Name: (required)

Address:

Postal code:

Telephone
Home:
Cell:
Work:

Your Email: (required)

Best time to call: ampmevening

Date of birth:
(While this is optional, it will help us greatly in compiling our statistics)

Age range: 18-2425-3435-4950-6465-7475+

Languages
Spoken: EnglishFrench   Other:
Written: EnglishFrench   Other:

Education: High-schoolUniversityPost-graduate

Experience and skills
Describe your work experience

Describe your volunteer experience

Describe any specific skills or hobbies which would be useful to your work as a volunteer
(also make note of any computer skills)

Cancer experience
Cancer diagnosis
   Date:
   Diagnosis:

Diagnosis of family member(s)
   Date:
   Diagnosis:
   Date:
   Diagnosis:
   Date:
   Diagnosis:

Diagnosis of a close friend
   Date:
   Diagnosis:

No experience

Other

Chemo - What type?HormonalRadiotherapy
What was the experience like? Describe your experience (treatments, outcomes, etc.)

Have you lost a family member or close friend to cancer? If so, when:
Please describe your experience of this loss?

Motivation - Please describe how you heard about Hope & Cope and your reasons for applying to volunteer in the program.

Coping - What helped you to cope with the difficult issues related to your personal experiences with cancer? And/or with your experiences with loss?

Please describe the strengths you feel you have for volunteer work in this program.

As this is an understandably difficult area in which to work, please describe any concerns you have and the help you feel you would need to work effectively.

Please give the name and phone numbers of THREE references (either personal or professional)
            Name:
           Phone:
Relationship:
            Name:
           Phone:
Relationship:
            Name:
           Phone:
Relationship:
Permission for police check: YesNo

Please indicate the day / schedule you hope to follow
(prioritize your 1st and 2nd choices)

First choice
Mondayampmevening
Tuesdayampmevening
Wednesdayampmevening
Thursdayampmevening
Fridayampmevening
Saturdayampmevening
Sundayampmevening

Second choice
Mondayampmevening
Tuesdayampmevening
Wednesdayampmevening
Thursdayampmevening
Fridayampmevening
Saturdayampmevening
Sundayampmevening

Please select the areas in which you are interested in volunteering
Hospital VisitingPalliative Care Volunteer Program (4Main)Peer Counselling / MentoringOncology / Radiotherapy ClinicsSelf-Help Group FacilitatorPR and/or Education of Volunteers & PublicOffice - TypingOffice - Familiar with computersOffice - Familiar with data base entryDeveloping and Updating Resource Information & Educational ToolsLibraryCoping Skills TrainingComplementary Therapies - Relaxation Training, Art Therapy, Yoga, Qi Gong, Massage, etc.Bereavement ProgramNewsletter publicationWebsite developmentWellness Centre - Exercise, Nutrition, Office Reception, Registration, etc.Fundraising - Friends of Hope & CopeFundraising - Young Adult Division (Denim & Diamonds)Fundraising - Other


Confidentiality
I will respect the right of the patients and their families to strict confidentiality concerning; the diagnosis, prognosis, family dynamics and any information of a medical, spiritual or psycho-social nature. This information is shared with me as part of a sacred trust and I will divulge none of it to others.

Training and on-going learning
I will attend the Hope & Cope orientation sessions, the McGill training program for Palliative Care volunteers (if applicable) and attend educational programs arranged for volunteers within the department, as part of my commitment to continuous on-going learning.

Respecting the schedule
I will respect the schedule arranged for me during my probationary period in order to shadow my partner, and keep to the schedule which I later establish in collaboration with the Volunteer Coordinator. I will notify theVolunteer Coordinator of any change of schedule, within a reasonable delay, and attempt to find a replacement volunteer for my shift.


I have read and acknowledge the above terms:

19 hours ago

Hope & Cope

Tell Cancer to Take a Hike:

1 Mount Kilimanjaro Climb
1 Stowe, Vermont hike
10 monthly local (Quebec) hikes
7 mountain climbers
20+ sponsors
90 hikers
$530,000 raised to support Hope & Cope’s transformative programs for cancer patients and their loved ones.

Thank you to everyone who participated in and supported our Tell Cancer to Take a Hike fundraiser. Exciting plans are underway for 2019 – stay tuned!

Nous remercions tous les grimpeurs, randonneurs, commanditaires et donateurs d’avoir répondu à notre appel et participé avec tant d’ethousiasme à notre levée de fonds Envoyez promener le cancer. Au plaisir de vous voir sur les pistes en 2019!
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5 days ago

Hope & Cope

Let the festive season begin! If you are looking for inspiration this weekend and need a break from holiday baking, planning and shopping, come to our Voices of Hope Holiday Concert on Sunday, December 9th at 2:30 pm at Our Lady of the Annunciation Church, 1020 Laird Blvd, Town of Mount Royal. Tickets are $20 (free for children 12 and under). ... See MoreSee Less

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6 days ago

Hope & Cope

Love Yourself is the title of Gail Issenman's fabulous new song, and all proceeds from streams and downloads will benefit our Cancer Wellness Centre. Check out this upbeat video featuring Gail's beautiful vocals and lyrics, filmed at our Centre, at the Jewish General Hospital and in the community. Recognize anyone?

www.youtube.com/watch?v=rB0O5j-zXYY&index=3&list=PLBL1pTydgdkhkuGFasWl-d3-aTs5R9W3Q&t=0sRock video, shot in Montreal, starring survivors. All proceeds going to Hope and Cope Cancer Wellness Centre in Montreal.
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7 days ago

Hope & Cope

Three cheers for volunteers here at Hope & Cope and around the world!

Today, is International Volunteer Day (IVD) - a global celebration of volunteers. It takes place every year on December 5 to shine a light on the impact of volunteer efforts everywhere.

Les bénévoles sont à l’avant-garde du changement social dans le monde. Cette journée est l’occasion offerte aux organisations et aux bénévoles de promouvoir leur contribution au développement, que ce soit au niveau local, national ou international.
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7 days ago

Hope & Cope
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