Application for Volunteer | Baptist Health Sciences University

Volunteer Information

First Name:

Last Name:

Email Address:

Phone Number:

Address

City/Town

State/Province

ZIP/Postal Code

Country

Birthday

What is your purpose for volunteering?

Describe any special skills you would like to use in your volunteer work:

Emergency Contact:

Contact Person in case of emergency or illness on duty:

Name:

Relationship:

Phone:

Previous Volunteer Experience:

Organization Name & Location:

I understand that I must be in good standing with Baptist University to participate in Hartley’s Helpers. I give permission for Baptist University to release my standing to the organizer of Hartley’s Helpers to determine my eligibility for participation.

YES