Please complete this application form if you are interested in becoming an Adventist Health Tehachapi Valley volunteer. Once you complete the form, click the Continue button at the bottom.

Personal 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.


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

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.

Volunteer Experience

Please provide the following information so that we can get to know you more, and find out what your service interests are.

Missional Engagement

Our Adventist Health culture of mission and values is very important to us, and we want to know how you as volunteer see yourself integrating with our team. Please provide a comprehensive answer.


Please provide either personal or professional references, excluding relatives. Please provide references that are credible and willing to be contacted to provide such information. Incomplete contact information will delay the processing of your application.

Emergency Contact

In the event there is an emergency at AHTV during your time of service, please provide a person we can contact.


The information provided on this application is accurate and correct to the best of my knowledge. I give permission for Adventist Health to check the references provided. I understand that the Volunteer Services Department is not obligated to provide a placement, nor am I obligated to accept the position offered.