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Langley Hospice Society Volunteer Application
Langley Hospice Society, a community based, non-profit organization, provides compassionate support to help people live with dignity and hope while coping with grief and the end of life. Thank you for considering volunteering with us, if you have any questions please call Denise Station at 604.530.1115.
Today's Date
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Name
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Prefix
First
Last
Address
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Street Address
City
State / Province / Region
Postal / Zip Code
Preferred Contact Number
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Secondary Phone Number
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Email Address
Confirm Email Address
Preferred Method of Contact during the day
Preferred Contact number
Secondary Contact Number
Email
Age Range
under 15
15 - 17
18 - 25
26 - 40
41 - 60
61 - 75
76 and older
Please indicate your area of interest (To select more than one area hold the CTRL button, please check ALL that apply)
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Thrift Store (Second Story Treasures)
Office
Fundraising/Special Events
Quilting Group
Supportive Steps Walking Group
Child & Youth Program (Training Required)
Loss Support Group Facilitators (Training Required)
Palliative Client Services (Training Required)
Areas marked with Training Required will need the completion of either Basic Hospice Training or Child/Youth Training call 604.530.1115 for more information.
Availability
Morning (9am - 1 pm)
Afternoon (1pm - 5pm)
Evening (N/A for Thrift Store or Office)
Other
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Flexible
Comments:
Please indicate your preferred time commitment:
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Casual/Special Events
6 months to 1 year
3 to 6 months
1 year or longer
How did you hear about us?
Please tell us why you are interested in volunteering with Langley Hospice Society:
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