Junior Volunteer Application Form
Please complete this application form if you are 14 - 17 years of age by June 1 and interested in becoming a Lake Taylor Transitional Care Hospital junior volunteer. Once you complete the form, click the submit button at the bottom.

Contact Information


Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.


Skills & Experience

In which of these areas do you feel you have moderate to excellent skill? Check all that apply.


Availability

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


Emergency Contact

In the event of an emergency, whom should we notify?


Academic Reference


Email Preferences

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.


I Agree

I understand and agree that submitting this application form does not automatically register me as a junior 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.
By submitting this form, I attest that the information I have provided on the form is true and accurate.