Welcome to Interior Health's Volunteer Portal
Home
VSys Web application
IHA Volunteer Services
Personal Information
Preferred Location
*
Current Date
*
First Name
*
Last Name
*
Birth Date
Gender
Pronoun
*
Home Address (Local only)
*
City
*
Province
*
Postal Code
Country code
*
Home Phone
*
Cell Phone
*
E-mail
Secondary Language(s)
Volunteer Preferences
*
Reference #1 (Name, Email, & Phone Number)
*
Reference #2 (Name, Email, & Phone Number)
*
Emergency Contact name
*
Phone (Mobile)
Not a Current or Previous IHA Employee
If yes, please indicate position and the last year of employment.
No Medical Issues Relating to Volunteering
If yes, please list any Medical Concerns:
Wheelchair/requires handicap access
Please Check All Boxes For Your Application To Be Accepted Below:
*
Photo/media Release Consent
*
Criminal Record/Reference Check Consent
*
Shared Personal Information Consent; your personal contact information will be used by Interior Heath for the purposes of scheduling, 3rd party data services, and any other necessary administrative and communicative functions relating to IHA Volunteer Services.
*
Confidentiality Consent: I will consider all information in verbal, written, or computerized form, concerning any IHA staff, patient, resident, client, family member as confidential; nor will I disclose any information which may come to my attention as a result of my role as a volunteer. I understand failure to do so may result in dismissal.
Save