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     Adult Volunteer Application Form (For volunteers over 18 years of age)
Surname......................................................................First Name............................................................................ Address/City/Post Code ......................................................................................................................................... Phone........................................................................... E-Mail......................................................................................
Best time to contact you: .................................... Present Occupation: ......................................................... How did you hear about Lisaard & lnnisfree Hospice?................................................................................ ........................................................................................................................................................................................... ........................................................................................................................................................................................... ........................................................................................................................................................................................... Why are you interested in volunteering at Lisaard & lnnisfree Hospice? ........................................................................................................................................................................................... ........................................................................................................................................................................................... ........................................................................................................................................................................................... Describe any relevant work, volunteer experiences, skills, hobbies or interests:.............................. ........................................................................................................................................................................................... ........................................................................................................................................................................................... ........................................................................................................................................................................................... During the past year, have you had a significant loss? If yes, please explain the circumstances. ........................................................................................................................................................................................... ........................................................................................................................................................................................... ...........................................................................................................................................................................................
Lisaard House, 990 Speedsville Rd, Cambridge, ON, N3H 4R6 519-650-1121 lnnisfree House, 2375 Homer Watson Blvd, Kitchener, ON N2P 0E9 519-208-5055
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