We appreciate your interest in volunteering with UNC Rockingham Health Care. The questions on this application are asked for the sole purpose of considering you for volunteer service. We do not discriminate on the basis of race, religion, sex, national origin, age or handicap status. Once you complete the form, click the submit button at the bottom.

General Information





Training/Health Requirements

Volunteer Orientation
Initial two step TB skin test
Rubella titer
Varicella titer
Immunization for negative titers
Background Check
*These requirements are provided free of charge by the Volunteer Services at UNC Rockingham Health Care.

Student Volunteers Only

Volunteer Agreement

I will consider as confidential all information which I may hear or see, directly or indirectly, concerning a patient, patient family member, doctor, or other health care professional and I will not seek information from any of the above in regard to a patient.

I hereby certify that the answers on this application and any resulting from interviews are true and correct and that any misrepresentations or omissions of facts, misleading, or false information on my part will be grounds for dismissal as a volunteer. Acceptance as a volunteer is contingent upon satisfactory references, verification of information submitted on the application and satisfactory completion of mandatory requirements. I authorize that all employers, schools, or references thus contacted be released from all liability in answering questions related to my application.

I understand that I am required to commit to serve a regular schedule of 6 months or more.

My services are donated to UNC Rockingham Health Care without contemplation of compensation or future employment and given with humanitarian or charitable reasons.

I authorize UNC Rockingham Health Care to administer emergency medical treatment to me while volunteering. I understand that UNC Rockingham Health Care is not responsible for volunteers before or after their assigned shifts.