Toronto Rehab - Become a Volunteer

Toronto Rehab - Advancing Rehabilitation, Enhancing Quality of Life

Volunteer Recruitment Form

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Thank you for your interest in our volunteer opportunities. Please take a few minutes to complete our secure on-line application form. Click the Submit button below when you are finished. If you have any questions, you may contact us anytime at volunteering@torontorehab.on.ca

All information collected on this form will only be used for the purpose of recruiting volunteers for Toronto Rehabilitation Institute

Volunteer Application Form
* required fields

At which location(s) are you interested in volunteering? * (you may check more than one)

Hillcrest Centre Lyndhurst Centre Queen Elizabeth Centre
Rumsey Centre University Centre

Have you ever applied to volunteer at Toronto Rehab before?

Name and Address

First Name:

Last Name:

Title:

Street Address:

Apt. # or Suite:

Indicate Main Intersection:

City:

Province:

Postal Code:

Home Phone:

Work/Cell Phone:

E-Mail Address:

Emergency Contact - This information will only be used if you are accepted as a Toronto Rehab volunteer and if there is an emergency.

First Name:

Last Name:

Title:

Relationship:

Street Address:

Apt. # or Suite:

City:

Province:

Postal Code:

Home Phone:

Work Phone:

General Information About You

How did you find out about us?

Other:

If you speak a language(s) other than English, would you be willing to assist or be a friendly support to a patient who speaks that language(s)?

Yes No

List Languages spoken:

Availability (please check all that apply): *

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
Morning 9 a.m. to 12 noon
Afternoon 1 - 4 p.m.
Evening 6 - 8 p.m.
Comments:

To assist us with your placement, please provide information related to your academic and employment history, skills, hobbies, as well as any past or current volunteer work:

Education (highest grade completed, extra courses, workshops, etc):

Employment History

Present
Job Title:

Employer

Former
Job Title:

Employer

Skills (please check all that apply): *

Accounting	Clerical	Computer Literacy
Driving Van	Musical Instrument	Musical Performance
Graphic Arts	Writing	Organizing Events
Retail	Public Speaking	Photography
Teaching	Painting	Sign Language
Marketing	Other

Other:

Volunteer Experience (list previous experiences/organizations):

Hobbies (cards, crafts, photography, swimming, etc.):

Possible Assignments that you might be interested in (please check whatever interests you): *

Office	Gift Shop
Socialization Support	Community Accompaniment
Social Programs	Occupational Therapy
Graphic Arts	On Call Clerical
Special Events	Musician/Singer/Piano Player
Van Driver	Event Planning
Therapeutic Recreation	Research
Chaplaincy	Physiotherapy
Other

Other:

Tell us about yourself and why you want to volunteer with Toronto Rehab:

*References - References will not be called until after you have met with one of our Coordinators.

Reference #1

First Name:

Last Name:

Title: * Relationship to applicant:

Address:

Apt or Suite:

City:

Province:

Postal Code:

Phone:

Reference #2

First Name:

Last Name:

Title: * Relationship to applicant:

Address:

Apt or Suite:

City:

Province:

Postal Code:

Phone:

Have you been convicted of a criminal offence for which pardon has not been granted? *

Thank you for taking the time to complete this application form. When you are done, please click the Submit button.

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