Please complete this application form if you are interested in becoming a Desert Valley Hospital Chaplain 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.


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

Email Preferences

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.

Emergency Contact


You will need to provide two references from your current Church/Organization and a letter stating that you are a current member of a Church/Organization.

Denomination Preference

As a Desert Valley Hospital Chaplain Volunteer, you will be providing spiritual support for persons of many faiths, please let us know if you have any faith restrictions or preferences that we should know about.


Have you volunteered for any other organizations in a Chaplain capacity?

Are you related to any of our employees ?

Do you speak another language?

I Agree

I understand that my references will be contacted and that any incorrect information on this application intentional or otherwise could be used as a reason to deem me unfit to serve as a volunteer at Desert Valley Hospital.