Please select areas of interest by placing number of priority in box. ie. Place #1 in first choice, #2 in second choice, etc.
Special skills and qualifications (summarized special skills, foreign language and qualifications you have acquired from education, employment, previous volunteer work, or through other activities):
Please list work experience of the past 5 years:
I have read this application and am consenting to my child’s involvement in volunteering, and I also give permission to the hospital to treat my child if medical attention should become necessary while volunteering.
Note: child’s birth certificate must be attached.
Please note that if you are selected for volunteer service, you will be required to present the following documents: