Volunteer Application

  • 1. Personal Information

  • Emergency Contact
  • 2. Employment / Volunteer Experience

  • Employment
  • Volunteer / Work Experience
  • Experience 1
  • Experience 2
  • 3. Skills and Involvement

  • 4. Availability

  • Available DaysAvailable Time for Chosen Day 
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  • 5. Terms and Signature

  • Applicant Statement of Understanding
  • 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. 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 volunteer service, regardless of the date of discovery. I give permission for WMMC to contact my references. I must have initial TB skin testing prior to beginning volunteer service, and I will be responsible for scheduling an annual review at no cost. 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.