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Volunteer Application

IH Peer Advisor/ Peer Volunteer Application

The Interior Health Peer Inclusion Program aims to improve healthcare for people who use substances by involving the expertise of people who have lived or living experience with substance use. We invite you to bring your voices, perspectives, strengths and skills so we can learn and work together. We welcome experience with substances, including alcohol in the present or the past, either personally or as a loved one. We welcome all lifestyles, backgrounds, gender identities, cultures and ethnicities. We welcome youth ages 12-24 and adults 19+. We highly encourage involvement of people who identify as Aborginal (Indigenous, First Nations, Métis, Inuit).

Personal Information

First Name

Middle

Last Name

* Date of Birth

Address where you can receive mail (honorarium cheques)

Address Line 2

City

* Province

Personal Phone

Alternative number

Is it okay to leave a message at these numbers?

E-mail Address

Gender you identify with?

Other detail:

What are your prefered prounouns? i.e. She, He, They

Indigenous Self Identification

Interior Health is dedicated to improving Substance Use care for First Nation, Metis, and Inuit care recipients. We acknowledge that this is best achieved through decision making and feedback directly from individuals who identify as First Nation, Metis, and Inuit. For this reason, we ask volunteers if they self identify but emphasize that this information is completely voluntary. There will be absolutely no impact on volunteer opportunities if you do not want to respond.

Indigenous Self Identification

Do you identify as someone who has lived or living experience with substance use including alcohol either personally or by supporting a loved one? (please select all that apply)

Do you identify as someone who has lived or living experience with substance use including alcohol either personally or by supporting a loved one? (please select all that apply)

Getting Involved

Below is an overview of ways to be involved with Peer Inclusion with Interior Health. For descriptions of Peer opportunities please visit Peer Inclusion and Engagement

Interior Health Peer Advisory Group: Joining this group means you will be added to our Regional IH Peer Advisory Group email distribution list. You will receive emails on a wide variety of optional oppopportunities to share your experience, voice and perspectives related to improving IH Mental Health and Substance Use healthcare initiatives and improve the health and wellness for people who accessing services

Youth Interior Health Peer Advisory Group: If you are between the ages 12-24, joining this group is the same as above; however, you will be added to the YOUTH email distribution list and receive emails on youth related opportunities that come up.

Interior Health Peer Volunteer (service delivery): These opportunities are typically in-person service delivery roles within your community. Please note, there may not be a role available at this time but as opportunities become available you will be notified via email and we will pass along your interest to the local Peer Coordinator in your area. .

Please consent to the below items (applies to all roles above)

Shared Personal Information Consent:Your personal contact information will be used by Interior Health for the purposes of coordinating, scheduling, and any other necessary administrative and communicative functions relating to IH Peer Inclusion Program.

Consent for Confidentiality Agreement: I consent to learning, understanding and commiting to uphold the confidentiality agreement for my role. I will consider all information in verbal, written, or computerized form, concerning any IH staff, patient, resident, client, family member as confidential. I will not share any confidential information which may come to my attention as a result of my role as a volunteer.