*UPDATE- Prospective volunteers will receive email notifications with sign up instructions for future information session dates approximately 1-2 months after submittal of an online application.*

Please complete this application form if you are an ADULT or COLLEGE STUDENT interested in becoming a volunteer with Fountain Valley Regional Hospital and Medical Center.

HIGH SCHOOL STUDENTS- Our Junior Volunteer program is full for 2020.

You will not be able to save the application and return later. Once you complete the form, click the Submit button at the end. A pop up message will appear after the application has been submitted as confirmation.

Name and Address


Please list any foreign languages that you speak and your level of proficiency.


Please list your most recent education, including college major or graduate school emphasis.


Please provide your current employer and a summary of job duties. If you are not currently employed, please list your most recent employer.

Personal Statement

Please explain why you would like to volunteer at Fountain Valley Regional Hospital.

Special Skills

Please list any special skills or talents you would be interested in sharing with patients. Examples would include arts & crafts, singing, or other areas.

I understand and agree that submitting this application form does not automatically register me as a volunteer with Fountain Valley Regional Hospital and Medical Center, 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 in this form is true and accurate.