Youth Volunteer Application

I hereby authorize the Grace Hospital to contact the named references to ascertain my suitability as a volunteer. I hereby release the Grace Hospital from all liability for any damage whatsoever for obtaining and using same. I further authorize the Grace Hospital to maintain this information in their records and release and absolve them from all liability that may otherwise accrue by reason of their keeping this information and using it for their purpose.

Signature of Applicant:

Date:

For those applicants under the age of 18, parental / guardian consent will be required.

Please download and forward the completed Parent / Guardian Consent form.

Authorization:

By submitting this application, I agree that the information I have provided on the form is true and accurate. Furthermore, I understand and agree that submitting this application form does not automatically register me as a volunteer. It is the policy of Grace Hospital Volunteer Services to screen all prospective volunteers. While we try to place every prospective volunteer, management reserves the right to decline applicants who do not meet our requirements and/or placement criteria.

Consent:

I consent to this information and information about my volunteer work with Grace Hospital to be maintained on the Volgistics website and absolve and release Grace Hospital and the WRHA from all and any liability that may otherwise accrue by reason of keeping this information on the Volgistics website and using this information for Grace Hospital purposes.