Re-Entry Volunteer Form

Please complete this form to update your information in Volgistics and re-enter the hospitals. Once you complete the form, click the Continue button at the bottom.

Contact Information

Make sure you opt IN to email notifications. E-mail is the primary method of communicating to our volunteers. Please allow us to send you e-mails. You will not receive e-mails from anyone other than CAMC Volunteer Services. No one else will have access to your e-mail 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.

Age range:

Education:

Facebook

Are you on Facebook? We have a private CAMC Volunteer Facebook group. This group is used as an additional method of communication to our volunteers. Would you like to be included in this group?

Yes or No?

Emergency Contacts

In the event of an emergency, whom should we notify?

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

* OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Email address:

Relationship:

Interest & Skills

As we re-enter volunteers, please consider all opportunities (not just what you've done in the past). There may be other opportunities that you may love. Please type which department/assignment that you would like to volunteer in. Office role? Patient interaction? Hospitality role? Arts activities? List top 3 in order of preference. There is a list of assignments you should have received with your welcome back letter.

Availability

Please indicate the days and times you are usually available to volunteer. An important part of volunteering is commitment. Our volunteers play an important role in service to our patients, families, and staff. In order to provide the best service, we need our volunteers to be here on a regularly scheduled basis. Typically, we would like our volunteers to commit to at least 3 - 4 hours per week.

Orientation Schedule

Every CAMC volunteer is required to complete a group orientation session. This session is called CAMC Volunteer 101. Please select the session below that works best for you. You will attend the orientation in the 1st floor conference room at the CAMC Cancer Center in Kanawha City. You must select an upcoming orientation date in order to re-enter the hospitals.

There are no scheduling options available

Anything else?

Please provide us with any additional information that will help us know more about you.

I agree

I will hold absolutely confidential all information which I may obtain directly or indirectly concerning patients, doctors or personnel. I will not seek confidential information in regard to a patient.

I authorize CAMC Health System, Inc. to use and disclose information such as my name and photographs for the purposes of marketing, media and education.

As part of the volunteer onboarding process, I will be required to visit Employee Health for a health review and review of vaccinations. I will also be required to receive a flu shot annually.

I Agree