Thank you for your interest in becoming an OHSU Healthcare Volunteer. Please complete this application form and when you are done, click the submit button at the bottom.

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Personal Information

Demographic Information


Please check all shifts that you are available for and note that each shift is 4 hours in duration. Majority are from 9-1pm and 1-5pm. There are some opportunities for early morning and late evening shifts but are limited and vary in times. Early morning shifts are typically before 9am. Late evening shifts are typically after 5pm.

IMPORTANT: After you submit an application, processing time can take 6-8 weeks so please consider what your availability will be at that time.

Organization/Program Affiliation

Please check the appropriate box if you are affiliated with any of the following organizations or programs listed below.

Emergency Contact

Please list someone we can contact in case of an emergency.

Interest Questionnaire

Please provide a response to the following questions.

Question 1

Question 2

Question 3

Question 4