Thank you for your interest in volunteering with Caldwell UNC Health Care and the Caldwell Memorial Hospital Auxiliary (CMH).  

Questions on this application are asked for the sole purpose of considering you for volunteer service.  Please answer the questions completely and proofread the application.  Once you complete the forms, please read the terms and check the "I agree" box and click the Continue button at the bottom of the page.

The application process is different for Jr. Volunteers, student interns, and student shadowing. If interested, please contact Volunteer Services at alice.whisnant@unchealth.unc.edu.


Caldwell UNC Health Care does not discriminate in hiring or employment on the basis of race, color, sex, religion, national origin, disability, or age.


Name and Address


Why Are You Interested in Volunteering?

We are pleased that you are interested in volunteering.  Please explain why you want to volunteer at Caldwell UNC Health Care and if you have any other past or current volunteer service.



Skills & Experience

List any special skills such as clerical skills, retail sale skills, computer skills, customer service, etc.



Previous and/or current volunteer experience

List names of organization(s) and describe duties.



Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more about that assignment. Use this list to rank your top three assignment choices.



Availability

Please indicate the days and times you are usually available to volunteer.



Employer

Starting with your MOST RECENT position, list the past two employers or significant work.



Emergency Contact

In the event of an emergency whom should we notify?



EMail

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.



Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.



Authorization & Agreement

I understand and agree that submitting this application form does not automatically register me as a Caldwell UNC Volunteer Services/Auxiliary volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.  

I hereby certify the answers on this application and any resulting from interviews are true and correct and any misrepresentation or omissions of fact, 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 the information submitted on this application and satisfactory completion of mandatory requirements, including background check.  I authorize that all employers, schools or references thus contacted by released from any liability in answering questions related to my application.  I therefore authorize you to make such investigations and inquires you deem necessary in arriving at a decision to accept me as a volunteer.