Please complete this application form if you are interested in becoming an Abrazo West 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.



Employer and/or Volunteer Experience

Please list your current or most recent employer, if applicable, and/or any other volunteer experience you may have



Skills & Experience

Please list any skills or interest you may have



Availability

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



Emergency Contact

In the event of an emergency whom should we notify?



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.



I Agree

I understand and agree that submitting this application form does not automatically register me as a WEST VALLEY HOSPITAL (WVH) volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering. WVH does require a successful background check and annual TB test and Flu Shot (provided to you at no cost)as part of our volunteer program.

By submitting this form, I attest that the information I have provided on the form is true and accurate.