Auxiliary Application The on-line application form. Thank you for your interest in the Auxiliary. To belong to the Auxiliary, you must be 19 years of age. Auxiliary to University Hospital of Northern British Columbia 1475 Edmonton St., Prince George, BC V2M 1S2 or P.O. Box 2346, Prince George, BC V2N 2J8 All volunteer information is held in strictest confidence and will be used only to match an individual with a suitable volunteer position. PLEASE ENSURE THAT ALL QUESTIONS ARE COMPLETED AS FULLY AS POSSIBLE. Name Address Telephone: Home and Cell Email Address Age Group 19-39 40-59 60+ Languages Spoken English French Other I want to volunteer with the Auxiliary to University Hospital of Northern British Columbia to: Help others Meet new people Show appreciation for help received Learn new skills Keep busy Be challenged Explore career opportunities Volunteering required for educational institution Other: (specify)____________________________________________________ PREVIOUS VOLUNTEER EXPERIENCE: I heard about volunteering for the Auxiliary to UHNBC from: Hospital Staff Auxiliary volunteer Hospital Patients Volunteer Bureau Radio, TV, Newspaper Volunteer Prince George Library School Chrurch Other (please specify):________________________________________________________________ Health Problems/Limitations: References: Name:_________________________________________________________________Phone:___________________________________ References: Name:_________________________________________________________________Phone:___________________________________ Date of Application Auxiliary to UHNBC Services Thank you for your interest in working in one of our services. Please select/check your 1st , 2nd and 3rd choices. . Please note that shift hours are set and you will be expected to fit them into your schedule. Training is provided in most services. Checkboxes Gift Shop—Monday to Friday, three hour shifts- two volunteers per shift. Run the till, assist customers, sell lottery, re-stock merchandise. THIS SERVICE IS A MAJOR SOURCE OF INCOME. Thrift Shop—Monday to Saturday, three hour shifts. Shifts are 10 am-1 pm and 1 pm – 4 pm. Run the till, sort donations and stock the floor. THIS SERVICE IS A MAJOR SOURCE OF INCOME. Information Desk—Monday to Friday, Three hour shifts. Greet and direct visitors to the various areas of the hospital Jubilee Lodge –-Tuesday Mornings Bingo 10:30am-11:30am. A monthly birthday party tea is also hosted with recreation staff. Jubilee Lodge is the extended health facility located in the hospital Knitting—Hours are at your convenience Hand knitted items for babies, include baby sets, mittens, and blankets. Quilting/Sewing—Members meet and quilt/sew together at a member’s home. A wide variety of items are made for the gift shop to sell. Items are also made to distribute to NICU, and Maternity. Library – Variable hours. Donated books and magazines are sorted and delivered to various areas of the hospital. Patient Support Service (SSMU) – Volunteers visit long term hospital patients to provide company and companionship. Shifts are based on individual patient needs as indicated by the nursing staff. Gardening Service – plant and maintain planters and gardens at the front of the hospital. FOR OFFICE USE ONLY: Interview date: ____________________________________________________________________________ ___________ Interviewed by: ______________________________________________________________________________________________ Annual Membership Fee: $10.00 Receipt #_________________________________________ Captcha Submit If you are human, leave this field blank.
