Please complete this application form if you are interested in becoming a Winship Cancer Institute volunteer. Once you complete the form, click the submit button at the bottom.
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 list the last two educational institutions that you attended, beginning with the most current.
The information provided in this application thus far is complete and correct to the best of my knowledge. I understand I am applying for a volunteer position and that references which I will provide may be contacted.
In case of an emergency, please list two individuals who can contact.
Please indicate the days and times you are usually available to volunteer.
Please indicate the location(s) that you would like to be considered for:
Please briefly discuss why you would like to volunteer at the Winship Cancer Institute and your specific areas of interest. Additionally, please let us know your expectations as a volunteer.
Volunteers who are cancer survivors are required to have been out of treatment for at least 6 months prior to volunteering. Additionally, volunteers who have had a family member recently pass away from cancer will need to delay volunteering for at least 12 months.
I pledge my committment as a volunteer at Emory Winship Cancer Institute:
*I shall be conscientious in the fullfillment of my duties and accept supervision graciously.
*I shall wear the appropriate volunteer uniform while in service.
*I shall conduct myself with dignity, courtesy and consideration.
*I shall endeavor to make my work of the highest quality.
*I shall not provide any medical advice, interpretation, or suggestion to any patients, family members or caregivers.
*I shall consider all information that I may hear directly or indirectly concerning those we serve as confidential.
*I shall share any questions, issues or concerns with the Volunteer Services Office and Supervisor.
*I shall uphold the traditions and reputation of the Winship Cancer Institute and as an ambassador I will interpret them to the community at large.
*I agree to fulfill a 6 month committment, completing at least 8 hours a month (the equivalent of two 4 hour shifts per month).
*I recognize that inappropriate behavior will result in immediate dismissal from the program.
*I hereby certify that if I qualify, I will need to complete the entire application process. Additionally, I understand that misrepresentation, falsification or omission of information may disqualify me from volunteer service.