Thank you for your interest in volunteering at New Hanover Regional Medical Center. Once you complete the form, click the submit button at the bottom.


You will receive an email telling you next steps in the process with a link to the mandatory orientation materials and test.


Contact Information


Demographics/personal

You may optionally provide the following information. It is used only to help us get a better idea of the demographics making up all volunteers.



Availability

In general, volunteers work a 4-hour shift. Please indicate below the days and times you prefer to volunteer.



Interests


Skills

Please list any skills, experience or hobbies.



Work History

Please list your most recent employer.



Emergency contact


Criminal history

Have you ever been convicted (pleaded guilty or been found guilty) of a misdemeanor or a felony? Provide dates and details for any or all convictions and pending cases below. Including, but not limited to major traffic violations,writing bad checks and DUI.

* A conviction does not necessarily disqualify you from volunteering.



Anything else you'd like us to know about you?

Please use this area to tell us a little more about your interest in volunteering.



Agreement Statement

* I certify that the information contained in this application is correct and complete to the best of my knowledge.

* Acceptance as a volunteer at NHRMC is contingent upon satisfactory completion of all pre-placement procedures which include but are not limited to an interview, criminal background investigation and orientation.

* I realize that any misrepresentation of facts will be cause for rejection of this application. In the event of placement in the volunteer program, falsification of any information on this application will be cause for dismissal.

* I authorize NHRMC to thoroughly investigate the information provided on this application and to conduct a Criminal Background Investigation. I will hold no person liable for giving or receiving information in this process.

* I agree to abide to the policies of NHRMC.

* I understand that upon my successful completion of the volunteer placement processes required at NHRMC and the approval for service by Volunteer Services staff, I will become a volunteer.

* As a volunteer, I acknowledge that I will not receive compensation for services from NHRMC and I will not be required to work.

* I acknowledge that I will receive a position description to specify the department(s) that I will be volunteering in prior to my placement(s).

* My response to any security questions will not automatically disqualify me from volunteering. However, if I answer no and a criminal history is found, or if I answer yes but did not include all convictions, I will be disqualified from consideration.

* The Volunteer Services Department is not obligated to utilize my services as a volunteer nor am I obligated to accept the assignment.

* Opportunities for volunteering are provided without regard to religion, creed, race, national origin, age, sex or disabilty.