Volunteer Consent
NOTE: This application form is for volunteers who have been referred for placement within Northern Health Authority by an Organizational Partner (Auxiliary, Hospice, St. John's Ambulance, etc.).
If you are not with a partner organization or you need more information before you apply, please return to our volunteer home page.
Note this application must be completed in one sitting.
By submitting this application:
I confirm the information in my volunteer application is complete and true. I understand and agree that any omission or misrepresentation with respect to the information given may be cause for refusal or removal from volunteer placement. I understand a Ministry of Justice Criminal Record Check may be required for some positions. I authorize Northern Health Authority to contact the references listed and give permission for these references to release relevant information requested.
I understand, and give Northern Health Authority permission to keep a record of my confidential personal information. I understand that personal information on this form is collected, used and disclosed by Northern Health Authority in accordance with the Freedom of Information and Protection of Privacy Act of BC (FOIPPA). I understand that Northern Health Authority may engage service providers to host and manage this service on behalf of Northern Health Authority. In such situations, Northern Health Authority will take all reasonable steps to ensure my personal information is treated confidentially, is only used for the purposes described, and is stored securely. I understand this information may be disclosed to any party with legal and proper interest, and release the agency from any liability whatsoever for supplying such information. Note that when we send emails through Better Impact, a third party service based in the United States (US) is used. This means that my name and email address will be temporarily stored in the US for approximately 30 days. If I have any questions about the collection, use and disclosure of my information, I can contact the Northern Health Authority Information Privacy Office by email at privacy@northernhealth.ca.
All volunteers must adhere to Northern Health Authority policies, including Confidentiality and Privacy and immunization requirements.
For English Language Learners, we respectfully request that all applicants have achieved the equivalent of the Canadian Language Benchmark level 6 for listening and speaking, or above, prior to applying. This ensures our volunteers have the ability to understand and communicate important information about health and safety should it arise while they are volunteering in our facilities.
