Volunteer Information Request 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. If you have any questions about our privacy policy, or would like a copy of the complete privacy policy, please contact the Executive Director at 1-866-514-5774 or email us

The information gathered on this form will be used internally to determine the most suitable position available for you and when you have been accepted as a volunteer, will be entered in our agency data base. Completing this application does not guarantee that you will be accepted as a volunteer. CCN has the right to verify all information provided on this application form. 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.

Thank you for reaching out to us. Volunteering with Community Care Northumberland is a great way to connect with your community and have a direct impact in the lives of others right here in Northumberland County. Our job is to make it as easy as possible for you to find a great volunteer opportunity with us.

For us to do this, please fill in the following form:

  • Home at Last

    Home at Last

  • Meals on Wheels

    Meals on Wheels

  • Transportation

    Transportation

  • Friendly Visiting

    Friendly Visiting

  • Community Diners

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  • Wellness Programs

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  • Telephone Security Checks

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  • Support for Caregivers

    Caregiver Support

  • Home Help Maintenance

    Home Help Maintenance