Please complete this application form if you are interested in becoming a MedStar Washington Hospital Center volunteer. Once you complete the form, click the submit button at the bottom.


Contact Information


Demographics

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.


Experience/Reference

Please enter an employer name or reference source


Availability

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


Emergency Contact

In the event of an emergency whom should we notify?


EMail


Personal Statement

In 400 words or less, write a personal statement explaining your interest area(s), goals as a volunteer and a brief description about you. Please include hobbies or special talents you would be interested in sharing with our patients (i.e. music, art).


Commitment of hours

By signing this application, if accepted as a MedStar Washington Hospital Center Volunteer, I commit to volunteer at the Hospital Center for at least four (4) hours a week and a minimum of 100 hours.


I Agree

I understand and agree that submitting this application form does not automatically register me as a MedStar Washington Hospital Center volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.
By submitting this form, I attest that the information I have provided on the form is true and accurate.