Please complete this application form if you are interested in becoming a Samaritan Health Ministries volunteer. Once you complete the form, click the Continue button at the bottom.
Please indicate the days and times you are usually available to volunteer.
The following volunteer assignments may currently be available. You may click the assignment names to learn more about that assignment. Use this list to rank your top three assignment choices.
In the event of an emergency whom should we notify?
Please list your current or most recent employer or school, if applicable.
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 understand and agree that submitting this application form does not automatically register me as a Samaritan Health Ministries 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.
By submitting this form, I attest that the information I have provided on the form is true and accurate.