Check all that apply.
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.
In the event of an emergency whom should we notify?
Please list your current or most recent employer, if applicable.
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.