Local Health Involvement Groups Application Form
All information on this form whether submitted online or in paper directly to the Winnipeg Regional Health Authority (WRHA) will be entered to a website owned by Volgistics, Inc. and not the WRHA.
Volgistics is a third party contracted to manage and store all information on volunteers collected by the WRHA, including, but not limited to: this application, personal information, volunteer assignments, service hours, awards, etc. Volgistics currently stores this information on servers located outside of Canada. This information will be subject to the laws of the country where it is kept.
Please note: Fields marked with a * are required fields.