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:

Don't miss these free public lectures for cancer survivors!
Reserve your spot by calling 514 340-3616.

Breast Cancer and Nutrition
November 22
6:30 pm - 8 pm

Nutrition can be a confusing topic at the best of times. Oncology dietitian Kristina Bianca Mullahoo will provide you with up-to-date information during this free lecture at the Cancer Wellness Centre.

CHEMO BRAIN AND CANCER FOG
November 23
3:30 p.m. - 5:00 p.m.

Chemo brain is a common and worrisome side effect of treatment. If you are looking for strategies to help you cope, this lecture is for you!
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Early morning delivery of 25 packets of fresh herbs for sale. Today's selection: pineapple mint, spike lavender, rosemary, yellow, purple and green sage. Get yours for only $3 each!

Découvrez le goût particulier et les propriétés bénéfiques des herbes de notre jardin.
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Choose from 150 packets of herbs from our garden, including coveted varieties not sold in grocery stores such as pineapple mint and magic mountain basil. As the cold weather settles in, what could be more comforting than a cup of mint tea, a dash of lavender in your salad or basil in your soup? Only $3.00 - $4.00 per packet.
Come early for the best selection! Proceeds will be used to make next year’s garden even better.

Choisissez parmi 150 paquets d’herbe de notre jardin, comprenant des variétés convoitées, qu’on ne trouve pas dans les magasins, telles que ananas et menthe ou basilic de montagne magique. Au moment où le froid hivernal s’installe, quoi de plus réconfortant qu’une tasse de thé à la menthe, un brin de lavande dans votre salade ou du basilic dans votre soupe? Prix imbattable: 3 $ à 4 $, le paquet. Venez tôt pour profiter de la meilleure sélection! Les profits serviront à développer et à améliorer le jardin l’an prochain!
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Unique herbs for sale

November 13, 2017, 10:00am - November 17, 2017, 3:00pm

Choose from 150 packets of herbs from our garden, including coveted varieties not sold in grocery stores such as pineapple mint and magic mountain basil. As the cold weather settles in, what could be ...

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www.youtube.com/watch?v=vKKCjjgewDw&t=2s ... See MoreSee Less

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Our volunteers are the best! In this 10:36 video, filmed at our Open House, Mark Samoilovich explains what motivated him to plant a fabulous herb garden at the Wellness Centre while Bluma Blicher talks about the rewards of giving back.

Nous sommes très reconnaissants aux bénévoles Mark Samoilovich et Bluma Blicher.
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