Please ensure Javascript is enabled for purposes of
website accessibility
Welcome to the Montreal Children's Hospital
About
Research
Teaching
Newsroom
Contact
En
Donate
I need to
Back
I need to
Book an appointment
Go to the emergency
Go to the hospital
Find a clinic or a service
Register for a family doctor
Get a hospital card
Make a comment or complaint
Visit a patient
Patients, parents and visitors
Back
Patients, parents and visitors
General information
Patient information
Resources for families
Clinics and services
Back
Clinics and services
Clinics
Services for hospitalized patients
Support services
Staff Directory
Healthcare professionals
Back
Healthcare professionals
Continuing Professional Development
Referrals
Resources for healthcare professionals
Resources for staff
Careers and volunteering
Back
Careers and volunteering
Careers
Volunteering
En
I need to
Back
I need to
Book an appointment
Go to the emergency
Go to the hospital
Find a clinic or a service
Register for a family doctor
Get a hospital card
Make a comment or complaint
Visit a patient
Patients, parents and visitors
Back
Patients, parents and visitors
General information
Patient information
Resources for families
Clinics and services
Back
Clinics and services
Clinics
Services for hospitalized patients
Support services
Staff Directory
Healthcare professionals
Back
Healthcare professionals
Continuing Professional Development
Referrals
Resources for healthcare professionals
Resources for staff
Careers and volunteering
Back
Careers and volunteering
Careers
Volunteering
About
Research
Teaching
Newsroom
Contact
Donate
Change contrasts
Change text size
Home
TEST – Volunteer application form
TEST – Volunteer application form
Volunteer Application Form
To volunteer at the Montreal Children’s Hospital, I understand that I must:
I agree to these policies.
1) Be at least 18 years of age (19+ for the Inpatient Units)
2) Commit to 3 hours per week to completing 50 hours within a 6 month period
3) Agree to a police check
4) Provide proof of mandatory vaccinations required by MCH
5) Be bilingual (functional French and English)
Last name
(Required)
First name
(Required)
Date of birth
(Required)
Phone
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Apt.
Email
(Required)
Name and phone number of emergency contact person
(Required)
Language(s) spoken
(Required)
French
English
Other
If you speak additional languages, please specify which ones
Status
(Required)
Unemployed
Employed
Student
Retired
Last degree obtained
(Required)
Select your preferred type of involvment
(Required)
Regular Volunteer
Special Events
Replacement on call
Other
If you selected 'other', please specify
Please provide a reference name and contact information
First
Last
Phone
Email
Please indicate the vaccinations you have received
(Required)
PERTUSSIS
MEASLES, MUMPS, RUBELLA (MMR)
VARICELLA (CHICKEN POX)
Please provide proof of Vaccination
and send to:
[email protected]
Please upload proof of Vaccination
Max. file size: 16 MB.
If you have more than one document, please try merging them into one file. You can also send all documents to
[email protected]
CAPTCHA
Formulaire d’inscription pour devenir bénévole
Pour être bénévole à l’Hôpital de Montréal pour Enfants, je comprends que je dois :
J’accepte ces politiques
1) 1) Avoir plus de 18 ans (19 et plus pour les unités de soins)
2) Consentir à une contribution de 3 heures par semaine, pour une période minimale de 6 mois
3) Consentir à la vérification des antécédents judiciaires
4) Fournir une preuve des vaccins exigés par l’hôpital
5) Être bilingue (français et anglais fonctionnel)
Nom de famille
(Required)
Prénom
(Required)
Date de naissance
(Required)
Téléphone
(Required)
Adresse
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Apt.
Courriel
(Required)
Nom et téléphone de la personne à contacter en cas d’urgence
(Required)
Langue(s) parlée(s)
(Required)
Français
Anglais
Autre
Si vous parlez d'autres langues, veuillez préciser lesquelles
Statut
(Required)
Sans emploi
En emploi
Étudiant
Retraité
Dernier diplôme obtenu
(Required)
Veuillez choisir votre type d’implication
(Required)
Bénévolat régulier
Évènements spéciaux
Remplacement sur appel
Autre
Si vous avez choisi « autre », veuillez préciser
Veuillez indiquer le nom et le numéro de téléphone d'un référent.
(Required)
First
Last
Téléphone
(Required)
Veuillez indiquer les vaccins reçus
(Required)
COQUELUCHE
ROUGEOLE, RUBÉOLE, OREILLONS (RRO)
VARICELLE (PICOTE)
Veuillez fournir une preuve de vaccination
Max. file size: 16 MB.
Si vous avez plus d’un document, essayez de les joindre en un seul fichier. Vous pouvez également envoyer tous les documents à
[email protected]
CAPTCHA
This page needs an update?
Report it here!