Please complete this application form if you are interested in becoming a Snake River Community Clinic volunteer. Once you complete the form, click the Continue button at the bottom.
The following information is optional. The information you provide below 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. Available times are as follows: Mondays and Wednesdays 10:00 AM - 4:00 PM, and Thursdays 5:00 PM - 8:00 PM. Minimum shift is 2 hours.
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.
Volgistics Volunteer Alerts sends reminders, alerts, and custom messages from System Operators and
Coordinators. Use this section to opt-in and opt-out of text messaging (also known as "SMS"),
and initially set how you would like to receive messages. Your messages can be delivered as emails,
text messages, or none. You can change this at any time through VicNet. View supported phone carriers.
Message and Data Rates May Apply. For help or information on this program send "HELP" to 28344.
You can send "STOP" to 28344 at any time to opt out. For additional assistance, call 888-891-6978 or
Message frequency based on account settings.
Messages are not guaranteed to be delivered. All messages will be sent by email until you respond "YES"
to the welcome text message sent after the application form is submitted. Message preferences
can be changed in VicNet on the Account tab.
Volunteer positions you are applying for (or general area of preference).
Please provide a character/work reference.
Please provide your Professional License Number(s) and or Certification (if applicable). You will need to bring your license with you so that we may include a copy in your file or upload it into our volunteer database.
Please list any languages you speak, other than English.
Please indicate whether you are proficient in sign language.
Please indicate pronoun preference.
Welcome to Snake River Community Clinic. As a volunteer, you are a vital resource in helping the Clinic continue to provide free health care. This contract outlines your responsibilities as a volunteer. It also describes what we expect from you. Thank you for your valuable time and skills.