Application Process For Volunteer Position

Thank you for your interest in volunteering at LewisGale Hospital Montgomery.

To be considered for a volunteer position with us, the following form must be filled out and submitted. The form will expire after 30 minutes for security purposes, so please fill it out within that time frame.

As the need arises the applications will be reviewed and those applicants qualified for the positions needed will be contacted for interviews.

Volunteer Application Disclosure

Items to Note:

  • LewisGale Hospital Montgomery has a policy of conducting background investigations for all Volunteer Applicants prior to beginning a volunteer experience, including High School Age, College Age, and Adult applicants.
  • Please complete all applicable information on the Volunteer Application.
  • If you have no employment history, please type "None" in that section of the form.
  • Falsification of information on the form may be grounds for denial of a volunteer placement.
  • Background investigations will be conducted only on those applicants offered a volunteer position.
  • The Hospital is not obligated to provide a volunteer placement, nor is the Applicant obligated to accept a position, if offered.
Required fields are marked with an asterisk *.

Your Contact Information

Emergency Contact

Previous Work and Volunteer Experience

References (non-family)

Volunteer Preferences

Day(s) Preferred
Time(s) Preferred
Area of Service Preferred

Course Requirement

Are you volunteering to fulfill a course requirement at school? *

Additional Help

Would you be willing to be on a substitute list to be called if another volunteer is unable to come in for his/her scheduled shift? *
Would you like to help with special projects that come up from time to time such as community health screenings, fund raisers, etc.? *

Reason for Volunteering

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