Personal Information First Name *: Last Name *: Preferred Name *: Date of Birth *: Address *: City *: Postal Code *: Preferred Pronouns *: Phone Number *: Email *: How did you hear about us? *: Select… Client/Family or Friend Google or web search Other Posters Public Event Social Media Usask Careers Volunteer Website Unspecified Languages English Speaking Proficiency *: Strong English language fluency is essential for this role, as clear communication with both our clients and our team is critical to providing end of life care. Please rate your English proficiency in both written and spoken communication using the following scale: Fluent / Advanced / Intermediate / Basic What other languages are you fluent in? (Select all that apply; hold Ctrl/Cmd to multi-select) *: Bengali Cree Croatian English Finnish French German Hindi Mandarin Punjabi Spanish Ukranian Urdu Unspecified Other Motivation & experience What motivated you to volunteer with us? What do you hope to gain by volunteering?*: Have you experienced the loss of someone close to you or spent time with someone very ill or dying? *: What is your main field of work, study or interest? / Have you had volunteer experience? (Please describe) *: Commitment and Training *: Our volunteers are integral to the success of our programs and the well-being of our clients. By committing approximately 4 hours per week, you’ll not only be supporting our organization but also ensuring that the individuals and families who rely on us receive consistent care and companionship. Scheduling is flexible and self-directed, but we ask for at least a one-year commitment to build meaningful and dependable relationships with our clients. To prepare you for this rewarding role, we offer a comprehensive training program. This includes a combination of in-person and virtual sessions. Attendance is required to ensure all volunteers feel confident and capable in their roles. Please acknowledge your understanding and agreement with the commitment and training requirements: References References *: Please list 2 personal references (friend, volunteer, or work-related) including name, phone, and email address. These individuals must be over 20 years of age, have known you for more than 2 years, and may not be a partner, spouse, family member, or your therapist/counsellor. Emergency Contact Emergency Contact Name *: Relationship to You *: Emergency Contact Home Phone *: Emergency Contact Cell Phone *:
