Thank you for your interest in volunteering at Pender Memorial Hospital. Once you complete the form, click the submit button at the bottom.

You will receive an email telling you the next steps in the process.

Contact Information


You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

How did you hear about us?


In general, volunteers work a 4 hour shift. Please indicate below the days and times you prefer to volunteer.




Emergency Contact

Criminal History

Have you ever been convicted (pleaded guilty or been found guilty) of a misdemeanor or a felony? Provide dates and details for any or all convictions and pending cases below. Including, but not limited to major traffic violations, writing bad checks and DUI.
* A conviction does not necessarily disqualify you from volunteering.

Anything else you'd like us to know about you?

Please use this area to tell us a little more about your interest in volunteering.

Agreement Statement

* I certify that the information contained in this application is correct and complete to the best of my knowledge.
* Acceptance as a volunteer at Pender Memorial Hospital is contingent upon satisfactory completion of all pre-placement procedures which include but are not limited to an interview, criminal background investigation and orientation.
* I realize that any misrepresentation of facts will be cause for rejection of this application. In the event of placement in the volunteer program, falsification of any information on this application will be cause for dismissal.
* I authorize Pender Memorial Hospital to thoroughly investigate the information provided on this application and to conduct a Criminal Background Investigation. I will hold no person liable for giving or receiving information in this process.
* I agree to abide by the policies of PMH.
* I understand that upon my successful completion of the volunteer placement processes required at PMH and the approval for service by the Volunteer Services staff, I will become a volunteer.
* As a volunteer, I acknowledge that I will not receive compensation for services and I will not be required to work.
* I acknowledge that I will receive a position description to specify the department(s) that I will be volunteering in prior to my placement(s).
* My response to any security questions will not automatically disqualify me from volunteering. However, if I answer no and a criminal history is found, or if I answer yes and did not include all convictions, I will be disqualified for consideration.
* The Volunteer Services Department is not obligated to utilize my services as a volunteer nor am I obligated to accept the assignment. Opportunities for volunteering are provided without regard to religion, creed, race, national origin, age, sex or disability.