Community Cares Program Summer Sign-up

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Please fill out this form if you are interested in starting or continuing as a volunteer for the Community Cares program for the summer. For more information on these volunteer opportunities please visit our website: https://www.kingstonhealth.ca/community-cares-program

Name *

Email address *

Phone number *

Department of FHS

Nursing

Medicine

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Year of Study

Year 1

Year 2

Year 3

Year 4

Other

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Are you interested in being a weekly phone call volunteer with Community Calls for the Fall/Winter semester? *

Yes

Maybe

Are you interested in being an errands delivery volunteer for Community Carts for the Fall/Winter semester? *

Yes

Maybe

Sometimes (ie when you aren't on placement)

During which dates will you be unable to deliver groceries due to mandated quarantine/ social distance requirements by Queen’s faculty of health science or participation in clinical placements *

Any additional information you would like to share

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