Home > Volunteer Application |
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| Did someone refer you to our volunteer program? If so, who? |
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| *First Name: |
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| Middle Initial |
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| *Last Name: |
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| *Address: |
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| *City: |
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| *State: |
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| *Zip Code: |
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| *Email: |
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| *Home Phone: |
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| Cell Phone: |
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| *Birthdate: |
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| Retired? |
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| If not retired, employer: |
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| Education/Special Training/Computer Skills: |
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| Business and/or Volunteer Experience: |
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| Club/Organization Affiliations: |
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| Foreign Languages (Speak, Read, Write): |
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| Volunteer Interests: |
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| Days and Hours Preferred: |
| Morning |
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| Afternoon |
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| Evening |
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| Flexible |
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Talents, Skills Hobbies:
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Our policy is to select and train the best-qualified candidates without regard to race, color, religion, creed, sex, national origin, age, disability, citizenship, veteran or marital status. Volunteers are placed according to their interests as they match the needs of the hospital. During the first 90 days, the volunteer is in an introductory status. The volunteer relationship is for an indefinite period and may be terminated at any time for any reason, by either the volunteer or the hospital.
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