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:

We are getting ready for our Volunteer Reception. Can't wait to thank our fabulous volunteers. ... See MoreSee Less

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Top 10 reasons why you should come to our Open House on July 6th:

10. It’s summer and our therapeutic garden is in full bloom
9. Smoothies in the kitchen – so delicious and so easy to make
8. Gentle stretching will loosen you up and make you feel taller
7. Zumba, line dancing, yoga, qi gong and tai chi
6. Art vernissage featuring works by participants in our Open Art Studio
5. Bake sale
4. Essential oils workshop
3. Meet our team of incredible volunteers and dedicated staff
2. 10 years of cancer wellness is worth celebrating
1. We can’t wait to welcome you and show you the many ways to live well with cancer

10 raisons majeures pour lesquelles vous devriez prendre part à notre journée Portes ouvertes, le 6 juillet

10. C’est l’été et notre jardin thérapeutique est en pleine floraison
9. Nous vous offrons de délicieux smoothies, si faciles à préparer
8. Des étirements en douceur vous détendront et vous donneront l’impression
que vous avez grandi
7. Et que dire du zumba, de la danse en ligne, du yoga et du tai chi?
6. Notre vernissage vous présentera des œuvres exécutées par des participants dans notre studio de création libre
5. Régalez-vous de nos pâtisseries offertes en vente
4. Initiez-vous à la confection des huiles essentielles
3. Venez rencontrer notre équipe de bénévoles sans pareilles et notre personnel si dévoué
2. Notre 10e anniversaire de bien-être pour le cancer mérite d’être célébré dignement
1. Nous avons bien hâte de vous accueillir et de vous montrer les multiples façons de bien vivre avec le cancer
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Hope & Cope added an event. ... See MoreSee Less

Portes ouvertes / Open House

July 6, 2017, 10:00am - July 6, 2017, 3:00pm

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Our Cancer Wellness Centre is looking great inside and out. Come see for yourselves on July 6th at our Open House.
Thank you Earl Pinchuk from the artforhealingfoundation.org

Ne manquez pas notre journée portes ouvertes le 6 juillet.
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Our beautiful Cancer Wellness Centre garden

#cancer #wellness #garden #hopecope10_36
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