The STUDENT VOLUNTEER PROGRAM is suspended at this time due to COVID-19. Your application will be put on a waitlist for placement once our program resumes.

PLEASE NOTE: Summer Program 2021 Applicants deadline is April 30, 2021. Interview Sessions and Mandatory Training will take place mid-end of May 2020. The program runs June 1st thru Labor Day (this may change). You must commit to 10 of 12 weeks of the program.

Our Volunteer Program is very popular. While we very much appreciate your interest and willingness to serve our patients, we want you to know that we do have a wait-list for placement. Adults/Students applying now may NOT be placed for up to 12 months. All applicants are put on a wait-list and when we have available opportunities, we draw from that list.

Please complete this application form if you are interested in becoming a Winchester Hospital Volunteer. Once you complete the form, click the submit button at the bottom.

Name and address

Demographic 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.


Please list the name of the college or university you are attending, as well as the field of study and your year of graduation.

Previous Skills

Please list any special skills and/or interests.

Personal & Professional References

Please list two personal and/or professional references (excluding relatives):

Employee Relationship

Have members of your family volunteered at Winchester Hospital, or are they employees of Winchester Hospital? If yes, please list their name(s), your relationship to them, and the department(s) where they work.

Additional Question #1

How did you learn about the Student Volunteer Program at Winchester Hospital?

Additional Question #2

Why would you like to volunteer at Winchester Hospital?


Please indicate the days and times you are available to volunteer. We ask volunteers to commit to one shift per week for a minimum of 3 months.

Additional Question #3

Have you volunteered elsewhere? If so, briefly explain where and the duties involved with that volunteer experience.

Applicant Agreement

The above information is accurate and correct to the best of my knowledge. I will uphold the traditions and standards of Winchester Hospital. I will endeavor to do my best to give volunteer service of the highest quality. I will consider as confidential all information which I may hear directly or indirectly concerning a patient, doctor or any member of the Winchester Hospital personnel, and will not seek information in regard to a patient.

By choosing the "I Agree" checkbox below, you are indicating your approval for us to check references, as well as to conduct a Criminal Offense Record Investigation (CORI). Opportunities for volunteers are provided without regard to religion, creed, race, national origin, age or sex.