Please complete this form if you are interested in serving Stocked & Reddie & understand that:

UAMS CAN ONLY ALLOW VOLUNTEERS that are ACH & UAMS employees, UAMS students, residents, interns, FAMILY OF TeamUAMS & ACH employees, & UALR students ON CAMPUS AT THIS TIME.

Once you complete the form, click the 'CONTINUE' button at the bottom.


HOSPITAL AFFILIATION (VOLS LIMITED AT THIS TIME)


Name and Contact Information


Emergency Contact Information


Service Commitment

IMPORTANT: I verify that I AM AN EMPLOYEE, STUDENT, RESIDENT, INTERN at AR Children's Hospital OR University of AR for Medical Sciences OR A FAMILY MEMBER of TeamUAMS or ACH employee.

I understand that UAMS CAN ONLY ALLOW VOLUNTEERS that are ACH & UAMS employees, students, residents, interns & their family members ON CAMPUS AT THIS TIME.

I agree to serve alongside others sharing the mission of Stocked & Reddie in a kind, safe, & efficient manner.