Please ensure that you have reviewed the infomation on the Southlake website volunteering pages before completing the volunteer application. Please complete all areas of the application. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. Fields marked with an * asterisk are required fields. If you do not wish to submit your application, you may exit this form at any time by closing your browser.

The Volunteer Resource Office utilizes email as the main method of communication. Please ensure that Southlake email addresses are included under the "safe sender" list in your email preferences. Otherwise, you might not receive important information regarding your volunteer role.

 

Personal Information


Please indicate if you are an Adult Volunteer, Post Secondary Volunteer or High School Volunteer.
If you are an Adult attending school, please choose Post Secondary Volunteer or High School Volunteer.

Optional for statistical purposes only
How did you hear about volunteering at Southlake Regional Health Centre? (Check all that apply)
What is your reason(s) for volunteering? (Check all that apply):
Emergency Contact Information
Experience
Employment Experience
I am currently:
Please list current or most recent employment first
Education
Are you currently attending school?
Volunteer Experience
Skills & Special Requests
Languages Spoken in addition to English
Availability
Please indicate ALL times you are available to volunteer
For most volunteer opportunities, you must commit to the same shift each week.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Area of Interest
Please choose the Southlake location where you would prefer to volunteer:

 

Location Preference #1
Location Preference #2
Location Preference #3
Please choose type of volunteer support you are interested in providing

 

Volunteer Preference #1
Volunteer Preference #2
I confirm that:
A clear Vulnerable Sector Police Check indicates that an individual does not have a criminal conviction for which a Pardon has not been received.
I understand that:
  • The personal information collected in this application will be used as part of the application screening process to evaluate my suitability for a volunteer position at Southlake Regional Health Centre. 
  • My personal information will not be used or disclosed for purposes other than those for which it was collected, except with the appropriate consent or as required by law. Personal information will be retained only as long as necessary for the fulfillment of those purposes or as required by law pursuant to the Public Hospital Act and the Freedom of Information and Protection of Privacy Act (FIPPA).
    Southlake Regional Health Centre places high value on the protection of personal information in compliance with legislation.
    • The Volunteer Resource Office screens all applications.  Due to the fluctuations in our requirements for volunteers and the suitability of applicants, we cannot guarantee that every applicant will obtain a volunteer placement. 

    Thank you for your interest in Volunteering at Southlake!