Please complete this application form if you are interested in becoming a Oregon Health & Science University volunteer. Once you complete the form, click the submit button at the bottom.

Name and address


Demographic Information

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.


Availability

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


Professional References

Please list 2 professional references (e.g., teacher, employer, etc.). Please do not list personal references such as friends or family members.


Questionnaire

Please answer the questions below:


Question 1

Do you have any experience working or caring for children between the ages of 5 and 18? If yes, tell us about your experience with children between the ages of 5-18:


Question 2

Do you have any experience working or caring for children between the ages of 0 and 5? If yes, tell us about your experience with children between the ages of 0-5:


Question 3

Please use adjectives to describe how your friends and family would describe you (at least 10):


Question 4

Please use adjectives to describe how your teachers and/or co-workers would describe you:


Question 5

How would your last supervisor describe you?