CHSLD Bayview - Volunteer Registration Form

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Thank you for choosing to volunteer at CHSLD Bayview!

Please complete the following form in order to process your registration.

Looking forward to working with you!

Vanessa Seraspe
Coordinator of Volunteer Services
514-695-9384 ext. 253
volunteers@chsldbayview.com

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Last name, first name *

Email *

Address *

Street number, street, apartment, city, postal code

Phone numbers *

Home, cell, business, etc.

Date of birth *

Education *

Past and current, if applicable

Work and volunteer experience *

Languages spoken *

Referral *

Reasons for volunteering at Bayview *

Medical concerns that could impact your volunteer assignment *

Emergency contact person *

Name, phone number, email, relationship

Do you have a criminal record or any pending criminal charges or court orders? *

Yes

Obligatorisk

If you answered yes to the previous question, please specify.

Other information you would like to share to the Coordinator of Volunteer Services *

Confidentiality Form *

I agree to respect the confidential nature of all related documents, files, and any other information I may learn in the course of my involvement at CHSLD Bayview.

Obligatorisk

Date *

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