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Volunteer Application

Please take a moment to complete the following volunteer application and checklist of interests. Be sure to specify the days of the week you are available. You must have the willingness and ability to make a commitment to your chosen assignment. Consider carefully whether the time commitment will fit your schedule. Our staff, patients, residents, and families depend on you.

To ensure patient privacy, all volunteers are asked to sign a confidentiality agreement, and are expected to maintain a code of confidentiality regarding patients, residents and staff. Breach of confidentiality may result in immediate dismissal.

As required by federal law, all volunteers are required to have a TB test and complete a health questionnaire as part of the orientation process. Background checks may also be run on volunteers. Thank you for your interest!

Volunteer Application
Your Address
Which days are you available to volunteer? Select all that apply.
Which hours would you prefer to volunteer during?
Volunteer Interests
The following are areas in which we have volunteer needs. Select all that interest you. If you do not see a specific opportunity you are looking for, please indicate your special interest or talent in the field below.

Maintenance & Housekeeping

Clerical

Lifeline

Gift Shop

Auxillary

Information & Wayfinding

Senior Care

Hospice

Other

I pledge to keep all staff/resident/patient/tenant information in strict confidence. I understand that any breach of this confidentiality will result in immediate dismissal.