Volunteer Application

  • 1. Personal Information

  • Date Format: MM slash DD slash YYYY
  • Available DaysAvailable Time for Chosen Day 
  • Emergency Contact
  • Experience

  • Attach a cover letter or resume to be considered for an internship.
  • If you have a portfolio or would like to provide examples of past work, please attach it here.
  • Agreement to Internship

  • I voluntarily offer my service with a clear understanding that there is no monetary compensation. Punctual and dependable attendance is a requirement of my service. Fulfilling the agreed requirements with my supervisor is required to receive internship benefits. I certify that all of the information provided on this application is true, correct and complete. I understand that false, misleading or incomplete information on this form may result in my disqualification for an internship, college credit, or any other benefits offered regardless of the date of discovery. I give permission for WMMC to contact my references. I must have initial TB skin testing, flu vaccine, and MMR vaccine prior to beginning volunteer service, and I will be responsible for these immunizations. I must have proof of immunity to measles, mumps, rubella, chickenpox, and date of last tetanus shot. If these are not available, WMMC will send me to the lab for a blood draw to check to see if I am immune. I understand that WMMC is a tobacco-free facility and I agree to comply with this policy. I understand that I will be asked to sign a Code of Conduct and agree that I am healthy to the best of my knowledge.
  • Date Format: MM slash DD slash YYYY
  • We may use your contact information to tell you about health-related benefits or services that may be of interest to you.