Thank you for your interest in volunteering with St. Michael s Hospital!

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1 Thank you for your interest in volunteering with St. Michael s Hospital! St. Michael s Hospital could not realize its mission and vision without volunteers. Volunteers serve in units and departments throughout the hospital assisting patients, families and visitors. For descriptions of our typical volunteer placements, please see the St. Michael s Hospital Volunteer website: Guidelines for Volunteering A minimum age of 16 (15 for Gift Shop only) The minimum volunteer period is normally 125 hours over 12 months for adults and 70 hours over either one or two semesters for students. Must have been resident in Canada for at least 12 months prior to applying Due to the customer service nature of volunteering, volunteers must have excellent communication skills, including fluency in English Please note that volunteer positions at St. Michael s do not involve academic credit; clerical or administrative assistance to units; clinical observation; or job shadowing. The majority of our volunteer placements are Monday-Friday, between 9:00am-5:00pm. Application and Registration Process Complete and submit this application package, including: Volunteer Application Resume References (2) that have known you for a minimum of 1 year Please note that all applications are reviewed, but due to the volume of applications we receive, only those selected for an interview will be contacted. Upon a successful interview and offer of placement, volunteers will complete a registration process that includes a Health Screening and volunteer orientation. The full intake process can take up to four weeks. St. Michael s Hospital 30 Bond Street Toronto, Ontario M5B 1W8 T: F:

2 St. Michael's strives to ensure that everyone who walks through our doors gets the best possible care and customer service. Volunteers assist with that mission in various ways. Below are the most common volunteer roles (please see our Internet for more detailed information) Inpatient Volunteers are focused on providing customer service directly to our patient. Volunteers visit with patients and assist them in a variety of ways, including completing their daily menus, clearing food trays, offering water or blankets, offering to get something from the Gift Shop, offering something to read and ensuring patients have what they need close at hand (tv, telephone, call bell, etc). The majority of the units with Inpatient Volunteers have a morning schedule (8:30am 12:30pm) and a limited number have afternoons as well (12:30-4:30pm). Liaison Volunteers greet and welcome patients, families and visitors in waiting rooms, lobbies and information desks, and clinical areas. These volunteers offer directions, answer questions, act as a link between families and hospital staff, escort families and visitors around the hospital and maintain our waiting rooms. The Liaison Volunteer schedule varies by unit. Gift Shop Volunteers The Marion Palmer Gift Shop is an exciting hub of activity for the Hospital. It is a boutique retail store that offers unique gift items, clothing and flowers. It is also the local convenience shop for the Hospital, serving everyone's everyday shopping needs. Volunteers assist in all aspects of the shop and is a great way to support with hospital in a non-clinical setting. Patient Program Volunteers offer unique services to our patients and families, provide families and visitors with educational materials and support patient centred projects. Some Patient Programs include: Patient Bookcart, elder visiting, the Patient and Family Learning Centre, the Creative Works arts program, Communion Ministry, maternity tours and the Baby Tuck Shop. Please note that there are a limited number of volunteer placements in these programs at any given time. Specific programs can be discussed at the interview. Please note that there are some areas of the hospital that do not offer volunteer opportunities. For example: pharmacy, food services, security, housekeeping, engineering, and supplies area. If you have a specific volunteer area not mentioned above, please contact Volunteer Services before completing the application.

3 For Office Use Only Volunteer Application St. Michael s Hospital 30 Bond Street, Toronto, Ontario M5B 1W8 Phone: Fax: FOR STUDENTS ONLY: I am applying for: (Please check one) Academic Year Schedule (Sept to April) - Deadline July 31 Summer Session Schedule - Deadline March 31 University/College Students (May-August) & High School Students (July-August) Personal Information First Name : Last Name: Address: Apt: City: Prov: Postal Code: Home Phone:( ) Alternate Phone: ( ) Date of Birth (mm/dd/yyyy): Female Male Please note that to volunteer with St. Michael s, the applicant must have been a resident in Canada for a minimum of 12 months prior to applying and must have current medical coverage (OHIP or other). Emergency Contact Information Name: Relationship: Home Phone: ( ) Alternate. Phone: ( ) How did you learn about our volunteer program? What has motivated you to volunteer? Education. What is your educational background? If you are a student, please indicate your school, academic program and year of study. Current Occupation. (Note: you must also attach a current resume to your application).

4 Please describe any other volunteer experience you may have: Volunteers provide services and support to patients, families, visitors and staff. Please describe any similar customer service experience you may have. Which St. Michael s volunteer roles appeal to you and why? Do you have any special considerations or limitations that we would need to accommodate? Volunteering Schedule (please check all days and times that you would be available to volunteer) Sunday Monday Tuesday Wednesday Thursday Friday Saturday Morning (9am-1pm) Afternoon (1pm-5pm) Evening (5pm-8pm) Declaration Have you had any prior relationship with St. Michael s? As a Volunteer Staff/Employee Patient (If as a patient, are you a current patient? Yes No ) Have you ever been convicted of a criminal offense for which a pardon has not been granted? Yes (Note that all volunteers must consent to a Criminal Records Check as a condition of volunteering.) St.Michael s Hospital is committed to receiving and treating personal information in confidence. The information in this application is collected and used by and on behalf of the Hospital for the purpose of evaluating the applicant s eligibility to participate in the volunteer program, for make inquiries of third parties that are necessary to evaluate the applicant s eligibility and for any correspondence or record keeping necessary to manage the volunteer s relationship with the Hospital. I hereby declare that all information provided in this application is true and accurate, I authorize and consent to the Hospital making inquires of third parties as are necessary to evaluate my eligibility and I acknowledge and understand that any inaccuracy or misrepresentation will be grounds for immediate dismissal. No Signature: Date: If you are under the age of 18, a parent or guardian must consent to your participation in the volunteer program Name of Parent or Guardian: Signature:

5 Volunteer Reference Please note that references must have known the applicant for a minimum of one year in a professional (non personal) capacity (for example: supervisor, co-worker, teacher, coach, volunteer supervisor). Family, friends and physicians are not eligible to be references. References may be contacted for additional information. Your Information Name Tel. # Occupation Address City Postal Code Company What is your relationship to the volunteer (e.g. employer, teacher, coach) I have known the Applicant for years. I have been asked to provide this volunteer reference for (name of Volunteer Applicant) Volunteers at St. Michael s are focused on providing compassionate service and support to our patients, families and visitors. In your own words, what makes the applicant a suitable candidate for volunteer service in a hospital? Please comment on how well the Applicant exhibits the following characteristics of a good volunteer. (3=excellent, 2=good, 1=area for improvement) Positive Attitude Good Communication Skills Follows through on Commitments Ability to Manage Stress Good Customer Service Skills Shows Initiative Ability to Work Well with Others Compassionate Towards Others I understand that any willful misrepresentation made by me in connection with this reference will be sufficient cause for the dismissal of the applicant from Volunteer Services. Signature Date St. Michael s could not realize its mission and vision without volunteers. Thank you for taking the time to provide this reference. Office Use Only: Reference Contacted - Date Initial

6 Volunteer Reference Please note that references must have known the applicant for a minimum of one year in a professional (non personal) capacity (for example: supervisor, co-worker, teacher, coach, volunteer supervisor). Family, friends and physicians are not eligible to be references. References may be contacted for additional information. Your Information Name Tel. # Occupation Address City Postal Code Company What is your relationship to the volunteer (e.g. employer, teacher, coach) I have known the Applicant for years. I have been asked to provide this volunteer reference for (name of Volunteer Applicant) Volunteers at St. Michael s are focused on providing compassionate service and support to our patients, families and visitors. In your own words, what makes the applicant a suitable candidate for volunteer service in a hospital? Please comment on how well the Applicant exhibits the following characteristics of a good volunteer. (3=excellent, 2=good, 1=area for improvement) Positive Attitude Good Communication Skills Follows through on Commitments Ability to Manage Stress Good Customer Service Skills Shows Initiative Ability to Work Well with Others Compassionate Towards Others I understand that any willful misrepresentation made by me in connection with this reference will be sufficient cause for the dismissal of the applicant from Volunteer Services. Signature Date St. Michael s could not realize its mission and vision without volunteers. Thank you for taking the time to provide this reference. Office Use Only: Reference Contacted - Date Initial