Volunteer Form

 
1 Start 2 Complete

Thank you for your interest in becoming a Bay Medical Volunteer. Please complete the information below.

Experience


 

When are you available to volunteer?


Restrictions


Background Information


Please List Two Personal References


Reference 1
Reference 2
I understand that I am applying to become a volunteer/intern at Bay Medical, not an employee. By signing this application I am acknowledging that all information on this application is true and correct. I also agree to treat all patient and hospital information as confidential and will not discuss the condition of patients or any other information obtained by volunteering/interning at Bay Medical. I understand that breach of this agreement will result in permanent removal from the program.