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Onslow Memorial Hospital Adult Volunteer Application Form

We appreciate your interest in volunteering with Onslow Memorial Hospital. The questions on this application are asked for the sole purpose of considering you for volunteer service. We do not discriminate on the basis of race, religion, sex, national origin, age or handicap status. Once you complete the form, click the submit button at the bottom.

General Information
Volunteer Availability
Reference 1
Reference 2
Reference 3
What prompted you to inquire about our volunteer program?
Service Areas of Interest
Training/Health Requirements

Once your application is reviewed, the Auxiliary's membership chair will schedule an appointment to meet with you at the hospital to discuss our program as well as get to know you. 

Requirements after this appointment will include a background check, blood test, PPD (TB skin test), and orientation to our hospital to include the rules that guide us to ensure patient privacy and overall good care. The Health Nurse will require proof that you have received certain immunizations (mumps, rubella, etc.).

These requirements are provided free of charge by the Volunteer Services at Onslow Memorial Hospital. 

Volunteer Agreement

The above information is accurate and correct to the best of my knowledge. The volunteer service department is not obligated to provide placement, nor am I obligated to accept the position offered. Opportunities for volunteers are provided without regard to religion, creed, race, national origin, age or sex. I authorize investigation of all statements contained in this application.

I understand that background checks are required of all new applicants.

This form cannot be saved. Once the below "Submit" button has been clicked, I have agreed to all the above and created an electronic signature.