Size:

Online Volunteer Application

The Ontario Human Rights Code prohibits discrimination in employment because of race, colour, creed, ancestry, origin, sexual orientation, marital status, family status, record of offences, handicap or other protected status.

Form Builder

*Required Field

Title *
First Name *
Last Name *
Address *
City *
Postal Code *
Home Phone *
Mobile Phone
Email
Are you under 18 years of age? * Yes     No
Current Status *
How did you find out about our volunteer program?
Why do you want to volunteer with SBGHC?

Which department(s) are you interested in volunteering in?

Administration Emergency Driver Nursing Units
Specialist Clinic Day Surgery Diagnostic Imaging Other

Please provide three reference (no family relation):

Name *
Relation to Applicant *
Phone *
Name *
Relation to Applicant *
Phone *
Name *
Relation to Application *
Phone *

The foregoing statements are correct to the best of my knowledge. I understand that any misrepresentation may disqualify me from volunteer or be cause for my dismissal. If hired, I agree to abide by all rules, regulations and conditions of volunteer with the South Bruce Grey Health Centre.

I agree to the above statement.