Volunteer Acknowledgements and Declarations

Your First Name (required)

Your Last Name (required)

Telephone Number (required):

Your Email (required)

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Hospice Orillia Acknowledgement of Position Description Review

I acknowledge that I have received, read and understand the position description for the role of (please select all that you volunteer in):
Administrative VolunteerBereavement Support Volunteer (General)Bereavement Support Volunteer (Group Facilitator)Caregiver Connection VolunteerComplementary Therapy VolunteerFootprints Project VolunteerVisiting Hospice Volunteer

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Hospice Orillia Acknowledgement of Policy & Procedures Review

I acknowledge that I have read the Hospice Orillia/NSMHPCN policies and procedures and understand their meaning and their impact on my volunteer role with Hospice Orillia. I acknowledge that if I have any questions or concerns about the policies and procedures, I will contact my direct supervisor.

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Hospice Orillia Criminal Records Check Declaration

I declare that I have not been charged with a criminal offence during the past year of my volunteerism with Hospice Orillia.
I agree to allow Hospice Orillia to perform a subsequent criminal records check if required.

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Year of Declaration (YYYY):

By clicking submit I confirm that the above information is correct and true to the best of my knowledge. Providing false information could result in the removal as a volunteer with Hospice Orillia.