Volunteer Application and Record Form
Community Care Northumberland is committed to protecting the privacy of the personal information we collect. At times, we may publish your name, image and role in our publications, and may send you information about our activities. I give my consent to receive regularly scheduled communication from CCN and understand that I may revoke this consent at any time. If you do not wish your name, image or role to be published through various media, please contact our administration office at 1-866-514-5774.
An applicant whom knowingly misrepresents themselves on this form will not be offered a volunteer position. I understand that I am required to provide a satisfactory Police Vulnerable Sector Check by my local police service prior to being accepted as a volunteer.
I further understand that I must commit to a 30 hour volunteer training program if I am applying to provide hospice/bereavement client service.