Please complete this application form to express your interest in become a volunteer with Casa de Salud. Upon completion, click the submit button at the bottom.


Who You Are


What You Could Do

Non-medically licensed volunteers, including volunteers fill a number of important roles at Casa. We have a need for volunteers with and without proficiency in Spanish or other languages.

Using your time and talent in these roles gives you valuable experience in a health care setting. Volunteers who are not licensed health care providers fill these important roles:

Serving as Medical Scribes is limited to interns.  Upon the completion of an internship, all are welcome to volunteer, but scribing is limited to interns only.

Please reach out if you have questions or don't see the role you're interested in filling.



When You Could Volunteer

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



Where and What You've Learned

Please include the school or university's name, location, your field or major, and the dates you attended.  If anticipating graduation, please put your expected graduation date.



Language Proficiency

Are you bilingual/multilingual? Please describe.



Where You've Worked

Please list any relevant work and volunteer experience, including dates and locations.



What You've Done

Please list any notable activities, affiliations, or achievements.



What You Bring to Casa

What skills, interests, and experiences would you bring to Casa de Salud?



Why You Chose Casa

Why are you interested in a volunteer opportunity with Casa de Salud? What other opportunities are you pursuing?



Who We Can Call

In the event of an emergency, please fill out contact information for someone local or someone who can reach someone locally.



References-Intern Applicants Only

If applying as an intern, please include two references.



Agreement

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer or intern, any false statements, omissions, or other misrepresentations made by me in this application may result in my immediate dismissal.