Professional Volunteers
(this section is reserved for Professionals who wish to work with the participants).
Your Name (required)
Your Email (required)
Your Street Address (required)
City (required)
Province (required) Quebec Ontario Alberta British Columbia Manitoba New Brunswick Nova Scotia Newfoundland Prince Edward Island
Your Postal Code (required)
Your Phone number (required)
Languages Spoken English French Other
Languages Written English French Other
Are you currently in treatment for cancer or have a loved one currently in treatment? Yes No
Have you ever had cancer? Yes No
Have you ever been convicted of a crime? (NB a police check is required prior to being accepted as a volunteer) Yes No
List your present or past volunteer experiences:
Volunteer Interests
Please indicate the service you wish to offer our participants:
What is your experience working with cancer patients?
How many years have you been working in this field?
Which training facility provided you your certification?
Do you have professional liability insurance? Yes No
(Please be prepared to bring a copy of your CV and proof of credentials to the interview)
Please check off your availability and be specific in the space provided (weekdays, evenings, one day, half day, etc.) weekdays evenings weekends Other
Please provide two references we may contact (name and phone number):
As a volunteer with WICWC, we would expect you to be comfortable with and adhere to our core values as part of your role in representing WICWC and the people we serve.
WICWC promotes wellness and the following core values: Respect for people of all ages, races, cultures, and sexual preferences. We are completely non-judgemental and we are a team.
Please let us know you're human.
