Volunteer Application Form

Required field - must be filled in. A red asterisk (*) indicates required fields.

NSHA is committed to promoting and providing equitable health for all and to have a diverse workforce and a culture of belonging. Expectations from NSHA staff, volunteers, patients and families are to respect every patient, resident, client and family member, regardless of their difference in race, age, religion, ethnicity, place of residence, gender, disability and educational background. NSHA wishes to contribute to a diverse, equitable and respectful environment and workplace of healing, belonging, and to provide services without discrimination. NSHA is committed to ensuring diversity in the workplace by supporting initiatives that promote the equitable participation of Aboriginal People, African Nova Scotians and other Racially Visible Persons, Persons with Disabilities and Women.

Please note: If you are currently an in-patient at a NSHA facility, you are not eligible to volunteer until discharged from hospital.

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Personal Information

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Employment & Education Information



Skills

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References

Please give the names and contact information of two references, not relatives, who know your qualifications and can vouch for your character.

Reference 1

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Reference 2

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Emergency Contacts

Contact 1

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Contact 2

Your answers to the following 2 questions will not impact your acceptance as a volunteer.

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