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Online Volunteer Application

Online Volunteer Application Form

Preferred Hospital to Volunteer at:    (All fields marked with *are required)
Personal Information
Emergency Notify:

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:

Hours Available: (Please check days and times):

AM to
Background Information:

"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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