EJGH Volunteer Services Volunteer Application Form

  • Please complete this application form if you are interested in becoming an East Jefferson General Hospital volunteer. Once you complete the form, someone from our Volunteer Services department will be in touch. Thank you!
  • Contact Information
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  • Personal Information
    • MM slash DD slash YYYY
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  • Skills & Experience

    Check all that apply.

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  • Availability

    Please indicate the days and times you are usually available to volunteer. Shifts include morning (8-12n), afternoon (12n-4p) and evening (4-8p). Flexible hours are available.

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  • Personal References (Relatives are not accepted.)
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  • Emergency Contact

    In the event of an emergency whom should we notify?

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  • Employer

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

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  • I Agree

    I understand and agree that submitting this application form does not automatically register me as a East Jefferson General Hospital 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, including but not limited to a minimum committment of 50 hours of service.

  • This field is for validation purposes and should be left unchanged.