Existing Volunteer Form

The undersigned has read and understands Hospital Sisters Mission Outreach Assumption of Risk, Waiver, and Release From Liability form (dated July 11, 2016) and realizes it relates to surrendering and releasing valuable legal rights and does so freely and voluntarily. Moreover, the undersigned understands that his or her participation as a volunteer for Mission Outreach, or his or her child’s participation as a volunteer for Mission Outreach is voluntary.

Electronic Signature (Type Name).*
Electronic Signature of Parent/Guardian if Volunteer is under age 18.
Date (00/00/00)*

Contact Information

State / Province*
Confirm Email*

Volunteer Information

Volunteer Group Affiliations
Areas of Volunteer Interest*
  • Any Task Needed
  • Biomedical Assistant
  • Data Entry
  • Warehouse or Driving Assistance
  • Office/Clerical
  • P.R. and Communications
  • Sorting Supplies
  • Special Event Assistance
Do you have any of the following skills?*
  • CDL
  • Forklift
  • Electrical Knowledge
  • Biomedical
  • Medical
  • None of the above
How did you hear about us?*
  • Employer
  • Fair/Expo
  • Friend
  • Internet
  • News Article
  • None of the above
How often would you like to volunteer?*
  • 2+ times per week
  • as schedule allows
  • monthly
  • once per week
  • semi-weekly
Specific days/times you would like to volunteer
  • Monday Mornings
  • Monday Afternoons
  • Tuesday Mornings
  • Tuesday Afternoons
  • Tuesday Evening
  • Wednesday Morning
  • Wednesday Afternoon
  • Thursday Morning
  • Thursday Afternoon
  • Thursday Evening
  • Friday Morning
  • Friday Afternoon
  • Saturday Morning
  • Saturday Afternoon
Volunteer Emergency Contact Name*
Volunteer Emergency Contact Phone*
Volunteer Emergency Contact Relation*
Please select Volunteer*
  • Volunteer
Additional Comments

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