Please complete this application form if you are interested in becoming a Mosaic Medical volunteer. Once you complete the form, click the Continue button at the bottom.
Please indicate the days and times you are usually available to volunteer.
We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.
Stay up to date with Mosaic Medical by subscribing to our newsletter.
Opt in if you'd like to stay in the loop on new volunteer opportunities with Mosaic Medical.
Please indicate if you have volunteered with Mosaic Medical in the past in any capacity, including at the Mosaic/ DCHS vaccination clinics. If you have never volunteered with Mosaic Medical, please disregard this section.
Please create a unique log-in to access your volunteer information and assignments with Mosaic Medical in the future.