Please only complete this application if you are 16 years old and in high school or are a college student. Once you complete the form, click the "submit" button at the bottom.

Thanks you for submitting your application! An email invite for an interview will be sent out at the end of 2 weeks, please make sure to check your inbox and spam folders. Thank you.


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.


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


References


Student Status

Please note that if you are not in High School -OR- a College Student working towards a career in the Healthcare Industry, your application will not be considered for this program


Experience


Are you related to any employees of DVH or DVMG?


Commitment


Why do you wish to volunteer at DVH?


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.