VOLUNTEER APPLICATION

one Vancouver VCH CoastalHealth

Richmond Hospital/ Healthcare Auxiliary Thrift Shop 3731 Chatham Street, Richmond, BC Telephone: 604-271-1551

Are you over the minimum age of 16 years?Yes

Why are you interested in volunteering at the Thrift Shop?

Availability: Please indicate the blocks of time are you are available to volunteer on a regular basis: Thursday TuesdayWednesdaySaturday MondayFriday 9:30 - 12:309:30 - 12:30 9:30 - 12:309:30 - 12:309:30 - 12:30 9:30 - 12:30

Available for Shop Special Events: Yes

Desired length of commitment (circle):

I hereby certify that the information contained in this application is true to the best of my knowledge and I give permission to the Richmond Hospital/Healthcare Auxiliary to contact my references. I understand a criminal record check will be required. I also understand that by signing this volunteer application form, Vancouver Coastal Health will keep a record of my personal information and that it will remain confidential to Vancouver Coastal Health. I understand that personal information on this form is collected, used and disclosed by VCH in accordance with the Freedom of Information and protection of Privacy Act (FIPPA), and that if I have any questions about the collection and use of my information, I can contact VCH's Information Privacy Office at 604-875-5568 or email at privacy@vch.ca.