Volunteer Resources and Engagement
Dear Island Health Volunteer Applicant, thank you for your interest in volunteering with Island Health.
Volunteering in health care is a privilege and a serious commitment. Please indicate your response to
each of the requirements below.
Please send completed document to
Your Name:
Your email address:
Please click on the box next to your chosen response (or place a check mark if the document is printed).
n/a = not applicable
Are you willing to commit at least 60 hours (approximately 6 months) of volunteering?
Typical assignments: 1 shift per week (shift length anywhere from 1.5 – 4 hours,
depending on assignment); there are some exceptions.
Yes ☐ No ☐
Our initial intake process can take 4-6 weeks and includes setting up an interview.
Some sites do periodic intake which may extend this time frame. Will this pose a
problem for you?
Yes ☐ No ☐
Online learning is required for all Island Health volunteers.
Applicants for Acute Care Hospital or Community / Inpatient Mental Health &
Substance Use settings: 8 hours of online learning is required. Are you willing to
make this commitment?
Applicants for Residential settings (long term care) or Community Health Units: 2
hours of online learning and 1 hour of additional reading is required. Are you willing
to make this commitment?
Yes
No
☐
n/a
☐
Yes
☐
No
☐
n/a
☐
Are you willing to attend additional site and assignment training?
Yes ☐ No ☐
Do you have questions regarding our requirement for a Ministry of Justice Criminal
Record Check, including Vulnerable Sector Verification (both Children and Vulnerable
Adults)? Note: this screening is completed through our department and does not need
to be in place prior to interview.
Yes ☐ No ☐
Do you have spoken English (ESL Level 6 preferred)?
Yes ☐ No ☐
Do you understand that an email account is required?
I understand ☐
I acknowledge that Island Health strongly recommends staff and volunteers do not
wear: nail polish, long nails, artificial nails, extensions, nail jewelry, or hand or wrist
jewelry (although plain wedding bands and medical alert bracelets are acceptable). I
understand that by following this policy I contribute to improving the health outcomes
for the patients, residents, and clients, as well as protecing my own health.
No ☐
Do you agree to comply with the BC Influenza policy: either have an annual flu vaccine
or wear a mask during flu season (typically December to March) each year?
Yes ☐ No ☐
Youth Volunteers: Parent / Guardian consent is required if under 19 years of age.
Will this pose a problem for you?
Yes
☐
No
☐
n/a
☐
These requirements support excellent care and provide you with a good foundation for volunteering in health care.
We appreciate you taking the time to consider whether volunteering with Island Health is the right choice for you.
Site Address:
Volunteer Resources: Trusted. Included. Valued.
Island Health Site:
Yes ☐
Do you agree to update relevant training/certificates annually? (approx. 1 hour)
Yes ☐ No ☐
Royal Jubilee Hospital (RJH)
RJHVolunteerIntake@VIHA.CA
1952 Bay Street, Victoria, BC, V8R 1J8, Royal Block, 453A
