Please complete this application form if you are over the age of 17 and are interested in becoming a Lake Region Healthcare Adult Volunteer. Once you complete the form, click the submit button at the bottom.
We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email.
Please indicate the days and times you are usually available to volunteer.
Please explain your previous work experience
Please explain your hobbies, skills and special interests
Explain if there are any work activities or conditions you must avoid.
Please fill in the requested information for one person to be contacted in the case of illness or injury.
Please fill in the requested information for one person whom we may contact for a personal reference.