Please complete this application if you are interested in learning more about volunteering at Shepherd's Clinic. Once you complete the application, click the submit button at the bottom. We will get back to you with further instructions within the week. Thank you!

Name and address


Please indicate the days and times you are usually available to volunteer. The clinic is open to volunteers Tuesday, Thursday, Friday from 9am-5pm, Wednesday from 9am-9pm, and Saturday from 9am-1pm. The clinic is closed to patients on Monday but open to certain volunteer positions as needed.

Your Experience

Highest Level of Education and Training

Please let us know about your educational qualifications and professional or vocational training.

Interests and Hobbies

Criminal Convictions