Personal Information

Volunteer Experience


Please indicate All the day(s) and time(s) you are available to volunteer. After the interview, should you be selected, we will choose one shift.
I confirm that I can commit 6 months and 80-hours to the volunteer program.
**A Criminal Arrest & Conviction record search is made of all prospective volunteers of the hospital. A conviction or arrest record is not necessarily a bar to acceptance as a volunteer; factors such as age at the time of the offense, seriousness, and nature of the violation and rehabilitation will be taken into account. However, concealment of any conviction on this application shall be cause for discharge whenever discovered.
(By signing this application I acknowledge the above information is true and correct)
This hospital fully complies with the Age Discrimination in Employment Act pf 1968 and the Civil Rights Act of 1964 which prohibits employment discrimination based on race, color, creed, sex, age, national origin, physical disability, or veteran status.