Volunteer Application

To apply to become a LincolnHealth Volunteer, please complete this application form and click the Continue button at the bottom.

Contact Information:

Personal Information:

Skills & Experience:

Previous Volunteer Experience:


Why are you interested in Volunteering at LH?

Availability and When can you serve?

Assignment Preference:


Emergency Contact:

In the event of an emergency whom should we notify?

Background Check:

A Criminal background check will be conducted by MaineHelath for all volunteers.

Health Consideration:

Do you have any limitations or health conditions which should be taken into consideration before determining a volunteer assignment? All potential volunteers will be cleared through MaineHealth Employee Health Service.

I Agree

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

By submitting this form, I attest that the information I have provided on the form is true and accurate.