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We acknowledge the unceded territory and ancestors of Coast Salish First Nations of Salt Spring Island & surrounding areas

who continue to use and steward the lands and waters of the Salish Sea.

Welcome
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Support and Resources
Events
Services
Become A Volunteer
Become A Member

5-127 Rainbow Rd

Salt Spring Island, BC

V8K 2V5

250-537-2770

office@saltspringhospice.org

Volunteer Application

Please fill out the form if you're interested in taking the training to become a hospice volunteer.

Our next training session will take place in the fall of 2024.

*NOTE: The information on this application is strictly confidential.

First Name

Cell Phone #

Date of Birth

Last Name

Home (other) #

Email Address

Pronouns You Identify With

Please include your full address:

We have various areas to volunteer, please check any you might be interested in.

Direct Care Positions:

Vigil Support

Respite Support

Visiting Team

1-1 Grief Support

Bereavement Support

Special Events

Fundraising

COLT organizing/planning

Publicity/promotion

Event set-up/take down

Fall Fair booth

Other Modalities

Advanced Care Planning

Therapeutic Touch/Reiki

Music Therapy

Pet therapy

Aromatic therapy

Have you experienced any major life changes in the past year? (ie: illness, seperation/divorce, job, move/relocation)

Have you experienced a personal bereavement during the past 2 years?

Our volunteers work with people with cancer, dementia, and other life ending illness. Would you feel comfortable working with these illnesses and the symptoms associated?

Emergency Contact:

Name:

Phone #:

Relationship to you:

CONSENT

I agree to the terms & conditions

Your Signature

Select a date

Thank you for your interest in volunteering for hospice.We will be in touch shortly.

Salt Spring Hospice Society
5-127 Rainbow Rd,
Salt Spring Island, BC, V8K 2V5

Hours of Operation:

Mon-Fri: 10-4 pm

Excluding Stat Holidays

office@saltspringhospice.org

250-537-2770

Subscribe Form

Thanks for submitting!

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