Please complete this application if you are interested in becoming a Taylorville Memorial Hospital volunteer. Once you complete the form, click the submit button at the bottom. Volunteers must be at least 16 years of age.
You may optionally provide demographic information. Demographic information is used only to help us have a better understanding of the make-up of our volunteer team.
Please list the person to be contacted in the event of an accident or illness.
Please indicate the days and times you are usually available to volunteer.