If you have any questions, please contact our office to speak with a Volunteer Services Coordinator, 204-889-8525.

Volunteer Application Online Form

General Information
For confidentiality reasons, all applicants must have a private email address (NOT to be shared with another person).
High School
Post Secondary
Employer 1
Last three places of Employment
Employer 2
Last three places of Employment
Employer 3
Last three places of Employment
Volunteer Questions
Health information
Please list three references (Including Phone Numbers)—past or present employers, volunteer administrators, teachers, etc. One reference from a personal friend is acceptable (this does not include family).
Due to the sensitivity of the volunteer’s role with Palliative Manitoba, we screen our candidates, thoroughly. We understand that many of these questions are personal in nature, but we will NOT consider incomplete applications. You may contact our office if you have any questions or concerns.
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