Thank you for your interest in volunteering with Hospice Halifax! This form will take about 3 minutes to complete. Your answers will be kept confidential in our password-protected database.

Contact Information

Email*
Confirm Email*
Phone*
Country
State / Province*
Address
City
Emergency Contact Name
Relationship to You
Emergency Contact Email
Emergency Contact Phone

Volunteer Information

What encouraged you to apply to volunteer with Hospice Halifax?
What kind of time commitment can you offer?
  • Weekly
  • Event or project specific
  • Bi-Weekly
Your Availability
  • Day
  • Evening
  • Weekend
Your Interest Areas
  • Event Support/Planning
  • Admin support and office tasks
  • Maintenance, Moving and light physical labour
  • Patient/Family Support
  • Patient/Family Programs
  • Food Services
  • Communications
  • Professional Skill/Designation
Do you have a professional skill/designation that you would be willing to share?

Please note our facility is not wheelchair accessible at this time.

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