Please complete this application form if you are interested in becoming a volunteer with NorthBay Healthcare. Once you complete the form, click the submit button at the bottom.

Applicant Information

Emergency Contact

Please provide two names and contact information in case of emergency.


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

Skills and Experience

College Students

All college students must be 18+.


Please include two references. Only one may be personal.


What do you like to do? This isn't a trick question, we just want to get a better sense of your personality.

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.

Create an account

Using our online volunteer manager, you can check your schedule as well as the status of your application. The email you enter above will be used to log in.

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, missions, or other misrepresentations made by me on this application may result in my immediate dismissal.