Volunteen Application

Thank you for your interest in becoming a volunteen at Premier Health. A parent or guardian must acknowledge the information on the forms is correct.  Once all forms have been received, we will contact you to schedule an interview/orientation to discuss volunteer openings, safety guidelines within the hospital, and days and times you would like to volunteer.

Contact Information

Emergency Contact

Education

Current Grade

Experience/Personal Interests

Medical Information

Documents

Please upload the following documents related to your submission. Please upload documents in one of the following formats: pdf, doc, docx, ppt, pptx, ppsx, xls, xlsx

  • Physician Form for Volunteen
  • Auth to Release Medical Information for Volunteer Form
  • A school recommendation is to be completed by a counselor or teacher 
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