JBH Volunteer Application - Adult
Thank you for your interest in volunteering at Joseph Brant Hospital! At this time, we are primarily looking for volunteers who have daytime availability,
Monday to Friday. We have a small amount of evening and weekend opportunities.
(this will be used to send your confirmation)
Have you ever been convicted of a criminal offence for which a pardon has not been granted?
Please select which area(s) you are interested in volunteering?
Please select all the times you are available to volunteer
Morning (8am-12pm) Afternoon (12-4pm) Evening (4-8pm)
Please provide 2 References
Personal health information is governed by the Personal Health Information Protection Act (PHIPA) and as such, staff, physicians and volunteers are legally obligated to protect patient privacy and maintain confidentiality of all information which you may be exposed to. By selecting agree, you agree to protect patient privacy and confidentiality.
Acknowledgment of Volunteer Criteria
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I have read the content on www.josephbranthospital.ca/volunteering
- I am over 15 years of age.
- I am aware of the 6 month minimum volunteer commitment
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I understand that I must submit a vulnerable sector police screening check
(Note: High School students are exempt) - I will be reimbursed the cost of the check after completion of 100 hours of volunteer service, upon request
- I am also aware of the need for a medical clearance<
- I agree to wear my volunteer uniform with solid black or solid white as the approved uniform look
Joseph Brant Hospital is committed to receiving and treating personal information in confidence.
The information in this application is collected and used by and on behalf of the organization for the purpose of evaluating the applicant's eligibility to participate in the volunteer program, for making inquiries of third parties that are necessary to evaluate the applicant's eligibility and for correspondence of record keeping necessary to manage the volunteer's relationship with the organization.
I hereby declare that all the information is true and accurate,
I authorize and consent to the organization making inquiries of third parties as are necessary to evaluate my eligibility
I acknowledge and understand that any inaccuracy or misrepresentation shall be grounds for immediate termination of the volunteer placement.
I understand that all volunteer files are kept locked and accessed by authorized personnel only.
I agree to adhere to the JBH Care Commitment of Compassion Accountability, Respect & Excellence, and will comply with the JBH Code of Conduct (Please Read under How to Apply)