Application Form

PALLIATIVE VOLUNTEER

*Please note maximum enrolment of the course is limited to 15 participants.  

Scheduling

More About Me:

References:


(Someone who has known you for two years and is aware of your work habits or skills through your volunteer or community work. Academic references are also acceptable).

Application Form: PALLIATIVE VOLUNTEER
*Please note maximum enrolment of the course is limited to 15 participants.

Please complete the application and forward to:

Palliative Services
Email: volunteers@burnabyhospice.org
Fax: 604-299-7910
Phone: 604-520-5087

If the form above is giving you trouble or you’d rather fill out the form as a PDF, you can download it below.

Please not that this is an alternative method, not an additional step;  if you have successfully submitted the form above, do not fill in the PDF.

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