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Online Volunteer Application

Online Volunteer Registration Confirmation

Thank you for your Volunteer Services application. A representative from our volunteer services department will review it and contact you within 7-10 days. If you have any questions, please feel free to contact us at 313-745-4922.

Again, thank you for your interest in volunteering at Harper University and Hutzel Women’s Hospitals.

Personal Information    (All fields marked with *are required)
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Male Female
Emergency Notify
Yes No

Referral Source
Experience And Skills
Volunteer Experience:
Employment Experience
Civic/Professional Memberships
Briefly describe your reason for volunteering:

List three adjectives that describe you as a person

Special Skills (Please check all that apply):

Schedule Preference

Days Available: (Please check days and times)

Hours Available:
AM to PM
Background Information
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Yes No

Yes No

"The DMC is an equal opportunity organization and will not unlawfully discriminate on the basis of race, color, sex, religion, national origin, age, height, weight, marital or veteran status, or the presence of a medical condition or handicap. Michigan and Federal laws require employers to make accommodations to handicapped applicants or volunteers, if the handicap can be accommodated with certain guidelines, and the individual can perform the essential job duties with or without such accommodations. Handicapped volunteers and applicants may request an accommodation of their handicap by notifying the organization in writing of the need for accommodations within 182 days of the date the handicapper knows or should know that an accommodation is needed. Failure to properly notify the organization will preclude any claim that the employer failed to accommodate the handicapper. Completion of this application does not guarantee placement.


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