Revelstoke RCMP Office

Revelstoke ,B.C.

V0E 2S0

Dear Revelstoke RCMP Officer:

RE: ___________________________

Date: _________________________

The above named person is applying to volunteer at the Revelstoke Hospital Auxiliary Society .

We are requesting a Police Information Check on the applicant.

Thank You in advance for your assistance.

Yours sincerely,

Patti Larson

President

Revelstoke Hospital Auxiliary Society

Dear Perspective Member,

Thank You for your interest in becoming a member of the Revelstoke Hospital

Auxiliary Society

This package contains the information required to become a member

1 ) Application form

2) Police Information check

3 ) Letter of reference from a member in good standing, or if you are new to town, a reference from a place you last worked or volunteered from your previous community. ( you must acquire )

When you have completed all information required please contact one of the following for an interview time.

Thank You.

Cheryl Fry – 250-837-9462

Wendy Larson 250-837-6077

Linda Jarche 250-837-3031

REVELSTOKE HOSPITAL AUXILIARY SOCIETY

Our Purpose:

The primary purpose of the Society is to add to the comfort and welfare of Revelstoke Community Health Care.

Our History:

We are proud to have one of the oldest auxiliaries in the province. Since the early 1900’s there have been three different auxiliaries here, and in 1973, with the building of the new Queen Victoria Hospital, we became, “ The Revelstoke Hospital Auxiliary”.

What We Do:

As a registered society and charitable organization we raise money from sales at our Thrift Store. During 2014 we donated more than $234,494.07. back to our community by providing donations to Queen Victoria Hospital, Community Connections Food Bank , Community Connections Day Camp , Revelstoke Cancer Support Group, Habitat For Humanity , Revelstoke Community Foundation, Canadian Cancer Society, Royal Canadian Legion, ALS Society, Revelstoke Highway Rescue Society, Mt Cartier Court, Revelstoke Ambulance Service.

We also provide 2 Bursaries in the amount of $2000.00 ea at the Graduation ceremony to 2 deserving Grade 12 students who are furthering their education in a Medical/Health related field.

We sponsor the Junior Volunteers who provide assistance at Queen Victoria Hospital and hospital patients as well as the cottage residents. We assist with their annual training and provide Christmas and year end parties for these new young volunteers.

We provide tray favors’ and flowers on special occasions to residents of the Cottages.

The Thrift Store:

This store is the focus, and the pride and joy of our volunteers. It is open 6 days a week. We are very fortunate to have the ongoing support of the community members who provide a wide variety of donations which are sorted, priced and sold in our store.

Volunteers:

Presently we have a membership of more than 103 women and men who together volunteer more than 10,000 hours annually. We are always looking for new and interested people to help in our efforts to raise funds for our community needs

How You Can Help:

If you are interested in Volunteering, please call one of the members of our Membership Committee for more information:

Cheryl Fry 250-837-9462 Wendy Larson 250-837-6077 Linda Jarche 250-837-3031

REVELSTOKE HOSPITAL AUXILIARY SOCIETY

BOX 1781

REVELSTOKE B.C. V0E 2S0

Personal Information

Name: _________________________________

Birth Date ( optional) _________________________________

Street Address: _________________________________

P O Box ________________________________

Postal Code: ________________________________

Phone: (250)___________________________ email: ____________________

Cell: (250) ___________________________

Letter of Reference from an Auxiliary member

Member’s name ________________________________ PHONE (250)___________________

Why do you wish to Volunteer? ______________________________________________________________________________

______________________________________________________________________________

Areas of Interest: ______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

I consent to a police information check to be done In keeping with the Revelstoke Hospital Auxiliary Society policies.

I agree to abide by the rules and regulations of the Revelstoke Hospital Auxiliary Society including maintaining that confidentiality is preserved at all times.

Signature X_________________________________ Date X _____________________

Interviewer X___________________________ Date X________________________