Please complete this application form if you are interested in becoming a Highlands-Cashiers Hospital volunteer. Once you complete the form, click the submit button at the bottom.


Contact Information


Demographics

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.



Skills & Experience

In which of these areas do you feel you have moderate to excellent skill? Check all that apply.



Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more that assignment. Use this list to rank your top three assignment choices.



References

Please use references who have known you at least one (1) year. Do NOT list physicians, relatives, or anyone living with you. Provide complete mailing address, email addresses are preferred.



Emergency Contact

In the event of an emergency whom should we notify?



Employer

Please list your current or most recent employer, if applicable.



EMail

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.



Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.



I Agree

I hereby certify that the answers on this application and any resultant interviews are true and correct, and that any misrepresentation or omission of facts, misleading or false information on my part will be grounds for dismissal as a volunteer.


Acceptance as a volunteer is contingent upon satisfactory references, verification of the information submitted on this application, compliance with vaccination requirements and a criminal record check. I, therefore, authorize you make such investigations and inquiries you deem necessary in arriving at a decision.


I acknowledge and agree that I am not obligated, if called upon, to perform the volunteer services herein applied for, and Highlands Cashier Hospital is not obligated to assign or actively seek to assign volunteer services for me.


I authorize that all employers, schools, or references thus contacted be released from all liability in answering questions related to my application