Year-Round Program Application (Mackenzie Richmond Hill Hospital)

To support a fair and meaningful review process, we ask that applicants complete all materials in their own words so we can better understand their genuine interests, motivations, and overall fit with our organization. Applications that do not reflect an applicant's own voice or appear to rely heavily on AI-generated or third-party content may not be considered further.

I confirm that I am able to commit to at least 1 regular shift per week from September until the end of June

* I Confirm

Would you be open to volunteering at the Cortellucci Vaughan Hospital instead?

Personal Information

* Preferred first name

* Family/last name

Gender Identity

* Date of Birth

* Address

Apartment/ Unit Number

* City

Zip/postal

* Mobile phone (xxx) xxx-xxxx

Home phone (xxx) xxx-xxxx

* E-mail

Emergency Contact

* Contact name

* Relationship

Emergency contact email address  

* Emergency contact mobile phone (xxx) xxx-xxxx

Additional Information

Do you speak any other language(s) other than English?

Please indicate your Volunteer Type based on your current status

Will you be in school while volunteering?

If you answered yes to the previous question, please indicate your year of study and the name of your school.

If you have an immediate family member who works or volunteers at Mackenzie Health? If yes, please indicate their full name and their relationship to you:

Have you ever volunteered at Mackenzie Health before?

If so, when:

Please inform us of your current commitments and responsibilities (school, working, family, job searching, etc.). As a reminder, the volunteer program requires a minimum of one 2-4 hour shift per week.

In your own words, please describe how your strengths can contribute to an 'Exceptional Patient Experience.'

What is your preference regarding availability? Important: Not all placements are available at any given time.

Weekday Mornings

Weekday Afternoons

Weekday Evenings

Weekend Mornings

Weekend Afternoons

Weekend Evenings

Resume

Please attach your resume here:

Work/Volunteer Experience (current or past)

**If you have attached a resume that contains this information, you do not need to complete this section.

Name of Organization

Roles

Duration (mm/yy-mm/yy)

Name of Organization

Roles

Duration (mm/yy-mm/yy)

Name of Organization

Roles

Duration (mm/yy-mm/yy)

Reference Information

References: Upon acceptance, we will be asking these individuals to complete a reference on your behalf. Please select a referee if they have known you for at least one semester/year (preference) in a professional manner (employer, supervisor, teacher, coach, etc.). We do not accept references from family, friends of family, personal friends or fellow students.

Reference 1

* Name of Referee

* Referee's Email Address

Referee's Phone Number

Referee's Occupation

Referee's Place of Employment

Reference 2

* Name of Referee

* Referee's Email Address

Referee's Phone Number

Referee's Occupation

Referee's Place of Employment

Declaration

I acknowledge and understand that the above information is true and complete to the best of my knowledge. I understand that a false statement may disqualify me or cause my dismissal.

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I have carefully considered my ability to commit to a position before submitting this application. I understand that the hospital reserves the right to release volunteers from their placement if they are unable to fulfill the duties or the time commitment required by the placement.

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I understand that all volunteers must agree to provide a Vulnerable Sector Check and a Health Screening Check upon acceptance into the program. I understand that any costs associated with obtaining these documents are not covered by Mackenzie Health. *All volunteers must have completed a 2-Step Tuberculin Skin Test.

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I understand that there is a $30 fee required for the volunteer uniform and ID badge.

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I understand that Mackenzie Health receives applications far in excess of the placements we have available and regrettably are not able to offer all candidates a placement.

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I agree to receive electronic communication from Mackenzie Health and I give permission for the information I have provided on this form to be given to Mackenzie Health staff and volunteers in connection with a potential volunteer placement at the hospital. Mackenzie Health communicates via email so please make us a safe sender to ensure you recieve any correspondance from us.

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