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Volunteer

Applicants must be 18 years or older.

Once you complete the volunteer application, you will be added to Balsam's volunteer database and a member of our team will be in touch with you.

First Name
Middle/Maiden name
Last Bame
Date of Birth (dd/mm/yyyy)
Home Address
Mailing address (if different than home address)
Home Telephone Number
Cellular Telephone Number
E-mail Address
Occupation (Profession/Retired/Student)
Emergency contact
Name
Cellular Telephone Number
Address
How did you hear about Balsam's
volunteer program?
Please list any previous volunteer experiences you have had (specify any institutions)


Why have you chosen to volunteer with Balsam?


In your opinion, what personal characteristics do you have that will enable you to work with people who are facing a terminal illness?



How often can you volunteer? weekly
monthly
yearly
Preferred volunteer times
Volunteer Opportunities
Please fill in areas of interest; you can fill in more than one of the below

Household Support
Please indicate how you can support Balsam's patients and caregivers by performing household tasks or relieving caregivers in other ways


Professional Volunteers/ Specialty Skills
Please indicate how you can support Balsam's patients and caregivers through your profession, or with any special skills you have (e.g., hairdressing, cooking, massaging, playing a musical instrument, etc.)


Fundraising
Please indicate how you can help Balsam with fundraising activities







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