Volunteer Application

Thank you for your interest in volunteering with Palliative Manitoba. We accept applications on an ongoing basis for the next available course.

Individuals who wish to volunteer for Palliative Manitoba must first complete the Volunteer Application Form (below).  Individuals that fulfill the screening requirements will be invited to attend the eight-week Compassionate Care Course.  Once selected, volunteers are asked to consent to a minimum one-year post-course commitment.

You can download, print and complete the application manually or submit via the online form below.

 

Volunteer Application Form (PDF)

Volunteer Application Form

  • Phone:

 

Education

    High School

  • Post-Secondary

  • Professional Training

  • Trade or Business

  • Other

  • Education: Formal education is not required to be a volunteer. We welcome experience of all kinds!
 

Employment History

  • Employer 1

  • Employer 2

  • Employer 3

 

Volunteer History

    Volunteer 1

  • Volunteer 2

  • Volunteer 3

  • Commitment

 

Health Information

 

Emergency Contact

  • Phone

 

References

  • Please list three references—past or present employers, volunteer administrators, teachers, etc. One reference from a personal friend is acceptable (this does not include family).
  • Reference 1

  • Reference 2

  • Reference 3

 

Personal Information

  • 7. What do you feel are the:

 

Disclaimer

  • Because Palliative Manitoba takes its responsibility for clients and services seriously, we screen all our applicants thoroughly. While we try to accept every prospective volunteer, PMb reserves the right to reject any applicant.
  • I hereby certify that all information in this application form is true and complete.
  • I hereby authorize Palliative Manitoba to verify any information supplied by me in this application form to ascertain my suitability as a volunteer. I hereby release Palliative Manitoba from all liability for any damage whatsoever for issuing same. I further authorize Palliative Manitoba 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.
 

Verification