Thank you for your interest in becoming a volunteer at North Colorado Medical Center. Once we receive your completed application, we will be in touch to set up an an appointment for an interview. If you are submitting your application electronically, please select "continue" at the bottom of this form to send your application to the NCMC Volunteer Services Department.

Applicant Information

Please add your emergency contact numbers in box 1-2

Employment Experience

Volunteer Experience

Making a Difference

Assignment Preference

Service Availability

The initial commitment expectation for all volunteers is 100 hours over 6 months of service. Please share the days and times of the week you are currently available to volunteer.

Felony Disclosure

Have you ever been convicted of a felony?

Certification of Information

I certify the statements made in this volunteer

application are true and correct, and have been

provided voluntarily.

• I understand that my time and services are donated to

Banner Health without contemplation of future

employment and also understand that I will not be paid

for my services as a volunteer.

• I understand that prior to the onset of service, I will

be required to:

o Attend an Informational Meeting

o Complete Criminal Background Screening

o Complete Occupational Health Screening

o Attend a New Volunteer Orientation session

o Complete any additional training required by my


• I understand the misrepresentation and/or withholding

of information may result in the rejection of this

application or cause my dismissal if discovered after

volunteer service begins.