Volunteer Application Form for Circle of Care

The information collected on this application form is solely intended to determine applicant suitability for a volunteer position. Any information collected on this application form will remain strictly confidential and any personal information disclosed for the purpose of obtaining a reference will be treated as confidential and private.

Due to an increase in volunteer applications, we will be prioritizing local applications (from within the Greater Toronto Area) first.

Title
Name*
Address*
If appropriate to call
Preferred Communication Method*

In case of emergency, who should we contact?

Emergency Contact Name*
Are you currently employed?*
When are you available to volunteer?*
Please specify whether per week or month.

PROGRAMS

Currently Accepting Volunteers

  • Meals on Wheels Volunteer Drivers: Drive & deliver meals to individuals living in their own home.
  • Grocery Pick-up/Shopping: We are in need of volunteers who can pick up grocery orders once a week after the client places the order with a local store. After picking up the order you will deliver it to the client’s home and, if needed, assist them in putting the food away.
  • Corporate Volunteers: At Circle of Care, employee groups can spend the morning with us delivering meals to older adults in the community.
  • Phone Pals: Phone Pal Volunteers provide regular weekly or daily telephone calls to isolated older adults who have few connections to family members and/or friends.
  • Russian-Speaking Volunteer Opportunities: Phone Pals and/or Friendly Visiting programs are in need of Russian-speaking volunteers.
  • Complementary Therapies for Hospice Clients: We are looking for professionals in Registered Massage Therapy, Reiki, Healing Touch, Therapeutic Touch, Reflexology, Music or Expressive Arts Therapy, Yoga, or Pet Therapy to join our Hospice team and share your skills with our clients.
  • Friendly Visiting: Provide regular social contact to lonely and/or isolated homebound older adults in their own home.
  • Hospice Volunteers: Provide companionship & support for those experiencing a life-threatening illness. You also assist with caregiver relief. Volunteers must complete Circle of Care's 30-hour in-depth comprehensive training program prior to participation. Program includes general and Jewish hospice volunteers
  • Medical Assistance Companions: Volunteers are needed to escort older adults or people with disabilities, who are unable to leave their residence on their own to go to medical appointments. Volunteers accompany clients to their appointment via taxi, TTC, Wheel Trans or iRide. They then ensure the client returns home safely prior to leaving.
  • Volunteers for Social Activities and Groups: Volunteers are needed for 3-4 hours once a month between 11:00 am and 2:00 pm, to assist with the planning and execution of social programs for isolated older adults. These groups take place in the North York area, two are offered in English and one in Russian.
  • Musicians: Share your musical talents and put a smile on an older adult’s face. We are looking for musicians to give their time once a month at one of our many programs.
  • Other: Do you have a special talent and idea on how you can volunteer with us? Give us a call at 416-635-2860 x375. We would love to discuss your idea further.

Currently On Hold - These programs are currently not accepting volunteers

  • Adult Day Program Volunteers: Volunteers are needed to provide social, recreational and educational assistance to programs located at the Adult Day Program.
  • Administrative Assistants: Volunteers are needed to provide support once a week between 8:30 to 4:30 to assist with a variety of office tasks: mailings, computer work, filing, putting together supply orders and welcome packages as well as a number of other administrative duties.



REFERENCES

You are requested to provide THREE references. Please ensure that these individuals are informed that they will be contacted. Please do not list any family members.

Reference #1 - Name*
Reference # 2 -Name *
Reference # 3 -Name*
Please type your name as consent to the statement above.

This is an application to volunteer with Circle of Care for which there is no monetary compensation. I understand that if I am accepted as a volunteer with Circle of Care, I am agreeing to:

  • Fulfill the orientation and training requirements for the volunteer role;
  • A minimum commitment of 6-12 months & 2-4 hours per week;
  • Abide by the policies and procedures of Circle of Care.

CONFIDENTIALITY AGREEMENT: I acknowledge that in the course of my volunteer work with Circle of Care, confidential and privileged information maybe shared with me in writing, verbally, electronically or in any other medium. The information is given in confidence and trust. I agree that during the course of volunteering with Circle of Care, and after my departure, I will keep all such information strictly confidential and not disclose such information to anyone under any circumstances. I understand that a violation of these obligations may be a cause for termination of my services with Circle of Care without notice.

LIABILITY RELEASE: I acknowledge that Circle of Care cannot be held responsible for the loss, damage or theft of any belongings brought to any Circle of Care program. Circle of Care cannot be held responsible for any and all claims for damages arising as a result of any accident or injury or otherwise sustained by participants arising from Circle of Care activity or program. I also agree to sign the Volunteer Waiver & Release provided to me along with this application and to promptly return a signed copy to Circle of Care.

PERMISSION TO USE PHOTOGRAPH: I grant to Circle of Care, its representatives and employees the right to take photographs of me and my property in connection with my volunteer role. I authorize Circle of Care, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Circle of Care may use such photographs of me with or without my name and for any lawful purpose including for example such purposes as publicity, illustration, advertising and Web content.

VOLUNTEER DECLARATION: Circle of Care’s clients are considered a vulnerable group as defined by the RCMP guidelines. Therefore we are required under the Criminal Records Act - R.S.C., 1985, c. C-47 (Section 6.3), to ensure we screen all volunteers. As a volunteer, we request that you please complete this form prior to volunteering with us. 

I understand that I may be asked to complete a Vulnerable Sector Check depending on my volunteer with Circle of Care. I declare that: I have no convictions under the Criminal Code of Canada, up to and including the date of this declaration, for which a pardon has not been issued or granted under the Criminal Records Act.

DRIVER INFORMATION

Please complete if you are interested in being a KMOW driver or a Medical Companion Driver

I agree to use my own vehicle to provide transportation for clients or delivery of meals for Circle of Care. My driver's licence is presently valid and not under suspension. In consideration of my agreement to provide transportation, I hereby release Circle of Care from any and all liability or responsibility for any damages or injuries suffered or caused by me during the provision of service.

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