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Langley Hospice Volunteer Application
Thank you very much for your interest in volunteering with the Langley Hospice and for taking the time to fill out this online application form.
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* Indicates required question
First name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Where are you interested in volunteering?
*
Second Story Treasures Thrift Store
Society Office - front desk
Society Office - Gardening
Client Support - Adult
Client Support - Child & Youth
Client Support - Hospice Residence
Quilting Program
Other:
Required
A criminal record check is required for these positions, please let us know if you have any concerns about this confidential process.
Your answer
Do you have any special skills or interests that you would like to utilize and/or develop through a volunteer experience with us?
Your answer
Do you have any of the following specific skills?
Retail
Donation sorting
Grief Support
Hospice Basic Training
Cashier
Reception
Computer skills
Fundraising
Gardening
What days of the week are you able to volunteer?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
When would you be able to begin volunteering?
*
MM
/
DD
/
YYYY
What interests you about volunteering with Langley Hospice?
*
Your answer
What is your age range
Choose
14 and under
15 to 18
19 to 25
26 to 35
36 to 45
46 to 55
56 to 65
66 to 75
76 to 85
86 and older
How long would you like to volunteer with us
*
Special Events only
Short term (3-6 month)
Long term (over a year
Other:
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