Français
About
About
Who we Are
History
Our Commitment
Board of Directors and Members
Our Team
Internships
Volunteering
Careers
Our Services
Our Services
Primary Care
Mental Health
Youth Wellness Hub
Diabetes Education Program
Health and Wellness
Nutrition
Pain Management
Cardiac Rehabilitation Program
Lung Health Program
Hypertension Education Program
Smoking Cessation
Active Life and Physical Activity
Community Health
Events
Blog
Clients Portal
Contact Us
Our Sites
Contact Us
Update Regarding our Waiting List
Make a Donation
Search
Appointment
Volunteer Form
"
*
" indicates required fields
Name
*
First Name
Last Name
Address
*
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Telephone
*
Email
*
Please indicate the volunteer program you are interested in.
Programs
Vaccination clinic
Badminton club
Card/knitting/sandbag clubs
Walking club
Community gardens
Exercise program
Green box program (fruit and vegetable distribution)
Office work
Other:
Other
When could you start volunteering?
In what field do you have work experience?
Are you willing to provide proof of no criminal record?
*
Yes
No
This proof must be dated within the last 6 months. This document is a requirement of the CSCE’s funding agency.
Are you available on a regular basis?
Yes
No
Please specify
When are you available?
Monday
Morning
Afternoon
Evening (after 4:30 p.m.)
Tuesday
Morning
Afternoon
Evening (after 4:30 p.m.)
Wednesday
Morning
Afternoon
Evening (after 4:30 p.m.)
Thursday
Avant-midi
Après-midi
Soir (après 16h30)
Friday
Morning
Afternoon
Evening (after 4:30 p.m.)
Saturday
Morning
Afternoon
Evening (after 4:30 p.m.)
Sunday
Morning
Afternoon
Evening (after 4:30 p.m.)
Please provide the names of two references, if possible, at least one employer:
Name
First Name
Last Name
Telephone
*
Email
*
Link
Name
First
Last
Telephone
*
Email
*
Link
Please provide the names of two people to contact in case of emergency:
Name
First
Last
Telephone
*
Name
First
Last
Telephone
*
The CSCE aims to provide access to healthcare for the French-speaking population of Eastern Ontario. As a result, the working language at the CSCE is French.
Are you willing to work primarily in French?
*
Yes
No
