Thank you for your interest in volunteering with John Muir Health. In order to submit a volunteer applicaton, please start by creating an account.

Your account password must contain at least one capital letter, one lower case letter, one number and be at least 8 characters long.

John Muir Health

Application for Volunteer Services (Applicant must be 18+ years old)

PERSONAL INFORMATION

IN EMERGENCY WE SHOULD NOTIFY

CURRENT EMPLOYMENT (if applicable)

SCHOOL (if applicable)

PRIOR EXPERIENCE

REASONS FOR VOLUNTEERING

PLEASE CHECK WHICH AREAS APPLY TO YOUR INTERESTS

CHECK THOSE THINGS IN WHICH YOU ARE EXPERIENCED AND/OR INTERESTED

OTHER INFORMATION

(Limitations will not necessarily disqualify you from volunteering)

Opportunities for volunteers are provided without regard to religion, creed, race, national orgin, age or sex,

REFERENCES - THIS INFORMATION IS NECESSARY, Complete address is needed!

(No relatives; preferably a supervisor/former supervisor if available)

The above information is accurate and correct to the best of my knowledge.

Your signature indicates your approval for us to check references. The Volunteer Services Department is not obligated to provide a placement, nor are you obligated to accept the volunteer assignment offered.


Click and hold your mouse button, or use your touchpad to place your signature in the box.

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