Required fields are marked with asterisks (*)

Volunteer Application Form

Thank you for your interest in volunteering with the Auxiliary at South Muskoka Memorial Hospital.  This application will be confidential when completed. 
Please note you must be at least 16 years of age to apply. 

SMMH Auxiliary crest

I consent to receiving email at the following address
 
Preferred method of contact:

Emergency Contact Information

In case of an EMERGENCY, please contact:

Volunteering

I would like to volunteer because I like to:
 

History

 Please provide any information on past volunteering experience.  To add additional lines, choose the "Add More" option.

Add More Remove

Do you require an extended period of time away during the year?
Would you be willing to help out with fundraising events (i.e. bake sales, craft sales, special events)?
At a later date, might you be interested in a position on the executive?

Availability

There are various time slots available for you to volunteer. Which hours will work best for you? Some programs require special times, but in general shifts are as follows.  Please select all that apply and if applicable, specify the hours.

Monday
 
Tuesday
 
Wednesday
 
Thursday
 
Friday
 
Saturday
 
Sunday
 

Health

You will be required to have up-to-date immunizations for MMR, Varicella, TB and COVID-19 confirmed by your physician. I am capable of fulfilling the obligations of the position.
I agree to complete mandatory training on personal protective equipment.
 

References

Please include two references that have known you for at least 2 years and are not related to you.



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