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Adult Residential Hospice – Dr. Kemp’s House
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How We Help
Planning
Caring
Remembering
Our Services
Adult Residential Hospice – Dr. Kemp’s House
Adult Day Wellness
Volunteer Visiting
About Grief & Bereavement Care
Adult Support
Children and Youth Support
Camp Keaton
Grief Awareness Month
Capital Campaign
About Us
About Kemp Care Network
Board of Directors
Our Team
Kemp Care Stories
Annual Reports
Staff Resources
Get Involved
Become a Volunteer
Host Your Own Event
Become a Funder
Donate Now
Volunteer Offence Declaration
Section 1
Name
(Required)
First
Last
Position
(Required)
Volunteer
Section 2
I DECLARE, since the last criminal record check collected by this hospice, or since the last Offence Declaration given by me to this hospice, that:
(Required)
I have NO convictions under the Criminal Code of Canada up to and including the date of this declaration for which a pardon has not been issued or granted under the Criminal Records Act (Canada)
I have been convicted of the following criminal offences under the Criminal Code of Canada for which a pardon under Section 4.1 of the Criminal Records Act (Canada) has not been issued or granted to me.
If convicted, please provide more information (Date, Court Location, & Conviction).
Section 3
I hereby certify that, to the best of my knowledge, the provided information is true and accurate.
(Required)
Please type your full name in all capital letters.
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