Dispatcher Application
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First Name
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Last Name
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Phone
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Email
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Address
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City
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Postal Code
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I am interested in becoming a
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Dispatcher
Patient Coordinator
Relief Dispatcher
Date of Birth
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January
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Select Day
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Year
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Personal Reference – First Name
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Personal Reference – Last Name
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Relationship to you?
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Partner/Spouse
Family
Friend
Co-Worker
Contact Number
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Experience
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Please tell us about any work, computer, or volunteer related skills that would benefit you as a dispatcher.
Code of Ethics and Privacy Policy
In volunteering with VCDS I will:
Keep any and all volunteer and/or patient information confidential.
Not share this information (intentionally or unintentionally) with anyone outside of VCDS and will use it only for the purpose intended.
Keep any records (and will ensure their destruction) in a safe and secure manner.
Make the safety and security of the people we transport my highest priority.
Ensure that my actions and behaviour when volunteering meet the highest ethical standards.
Not benefit or attempt to benefit financially or otherwise from my volunteer activity. Respect the customs and culture of my team members and those we serve
Not discuss a patient’s health situation unless specifically invited to do so and never provide medical or other advice.
I understand that as an active volunteer my name, address, phone #, and email address will be shared with team members as appropriate. This information may also be shared throughout our organization on team lists and/or in emails.
I AGREE to the VCDS Code of Ethics & Privacy Policies
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By selecting the “I AGREE” box you are acknowledging to abide by these terms.
I AGREE
Acknowledged On
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January
February
March
April
May
June
July
August
September
October
November
December
Select Day
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1
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Year
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2025
How did you hear about us?
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Please select one of these choices
Hospital/Medical Clinic
Social Media
Volunteer Website
Family/friends
Brochure
Service Club
Indeed Job Posting
LinkedIn Job Posting
Other
Briefly describe where you heard about us if not listed above
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Comments
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