*To protect our patients, our workforce and our community, Valley Health requires all volunteers to be fully vaccinated against COVID 19 and provide proof of vaccination before volunteering.*

Greetings future Winchester Medical Center Volunteers! Please complete the Winchester Medical Center Volunteer application form and then click on the "Submit Here"  button. Please DO NOT click the "Submit Here" button until you have entered all the information you wish to include in the application. Once you have clicked on the "Submit Here" button, your completed application will be sent to the Volunteer Office at Winchester Medical Center for review. 

Name and address

Personal 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.


By giving your best response to this section, we can better find proper placement that will be mutual.

Opportunity Selection

You will be ask to select the 3 areas where you feel you have an interest in volunteering. This does not limit your placement but does give us a starting point in a successful placement.

Emergency Contacts

Enter the person or persons who can be contacted if there is an emergency while you are volunteering


Enter two references that are familiar with you and can be contacted if necessary