Welcome to Volunteer Services

Please fill out this form to volunteer with us.

UNDERGRAD APPLICATION - (College application Main hospital campus & offsite clinics)

Application Date
Last name
Legal First Name
Nickname (for badge)
Middle Name
Group
E-mail
Additional languages
Gender (optional)
Ethnic Background (optional)
Date of Birth (optional)
Permanent Address
Street
City
State
Zip
Home phone
Cell Phone
Vehicle Info (or enter N/A if UNC student,or UNCH or University Employee):
Vehicle Make
Plate Number
Model/Color
Highest Degree Attained
Degree
Current Students - 1st year freshmen are NOT Eligible to Apply
School
Major
Minor
Class Year
Are you employed at UNC Health Care?
If yes, Where?
Current Occupation
Employer
Volunteer Service Areas Preferred (from Web Opportunities List)
Choice 1
Choice 2
Choice 3
Why did you choose the service areas listed above?
What do you hope to gain from this experience?
Days and Hours Available
Emergency Contact Name
Phone
How did you learn about Volunteer Services?

APPLICANT AUTHORIZATION

I hereby authorize a Consumer Reporting Agency (CRA) chosen by UNC Health to perform a criminal record search and to allow UNC Health access to those results.

I understand that the CRA does not guarantee the accuracy or timeliness of the information obtained from other sources and that UNC Health and the CRA shall not be liable for any inaccuracy in the information obtained from the CRA.

I understand that I need to obtain a criminal background check chosen by UNC Health.
I understand by completing this application that I agree to a minimum of 2 semesters of volunteer service with UNC Health.