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:

1 week ago

Hope & Cope

Focus on the Future / Visons l'avenir

Have you finished your treatments? Want to move forward with confidence but don't know how? Registration is now open for this new post-treatment program. For more details and to find out if this program is right for you, please contact Sophie at 514 340-3616, ext. 208, sophie.blondin.ccomtl@ssss.gouv.qc.ca

Veuillez noter que cette première initiative sera offerte uniquement en anglais.
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2 weeks ago

Hope & Cope

Dr. Albert Chan, a psychologist at Maggie's Centre in Hong Kong, paid a visit to our Wellness Centre to learn more about our approach. Maggie's Centres provide practical, emotional and social support to people with cancer and their families and friends.

Dr. Chan provides one-on-one counselling, family counselling and runs a weekly men's support group. He was most impressed with the Wellness Centre and with our use of cancer experienced volunteers, a model that he believes would work well in China but would not be appropriate for Hong Kong.

Dr Albert Chan, psychologue au Centre Maggie's, a visité notre Centre de bien-être, afin d'en apprendre plus sur notre approche. Il a été fortement impressionné par notre Centre et par les services assurés par des bénévoles, fortes de leur expérience du cancer, modèle exemplaire qu'il croiit pourrait être appliqué en Chine, mais ne pourrait pas servir à Hong Kong.
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2 weeks ago

Hope & Cope

So grateful to #comedygivesback for a wonderful afternoon of laughter and for making this much anticipated annual tradition a reality.So grateful for our comedy partner who made this years @comedygivesback possible ... See MoreSee Less

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2 weeks ago

Hope & Cope

Thank you #comedygivesback for giving cancer survivors the gift of laughter!So grateful for our comedy partner who made this years @comedygivesback possible ... See MoreSee Less

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2 weeks ago

Hope & Cope

FBF to our strategic planning process in 2008. Our mission remains the same! ... See MoreSee Less

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