Grace Medical Home

Volunteer

Grace Medical Home would not be able to offer excellent healthcare to its patients were it not for our wonderful volunteers who generously give of their time and talents. Volunteers serve regularly as healthcare professionals, administrative support staff, front office assistants, interpreters and in many other capacities.

At Grace, we are humbled by the number of individuals who want to volunteer. It is our desire that all who feel called to Grace can be a part of this ministry. Please be aware that it might take some time before we are able to place you in an on-site volunteer role. We greatly appreciate your interest and understanding. Here are some current Volunteer Opportunities.

Please read our Volunteer Letter from our Board of Directors.

For more information, please contact us at info@gracemedicalhome.org.

Please note that our volunteers who interact with patient information must be 18 years or older and will need to agree to a background and drug screening.

Basic Information

First Name:		Last Name:
Birth Date: (Year Required)		Email:

Mailing Address

Street Address:		City:
State/Province:		Zip:

Contact Info

Home Phone:		Cell Phone:
Emergency Contact:		Emergency Contact Number:

Employment

Occupation:		Employer:
Church:

Please answer the following questions.

How did you hear about Grace Medical Home?:

What interests you about volunteering at Grace Medical Home?:

Please list your skills, hobbies & interests:

Do you speak a foreign language? If so, please indicate language:

What is your past and present volunteer experience?

In what area(s) would you like to volunteer at Grace?

What days and times would you usually be available to volunteer? (Most of our clinical volunteers serve at least once a month. Most of our regular non-clinical volunteers serve at least once a week.)

Available Days and Times:		Times Per Month:
Professional License #:		Malpractice Carrier (if applicable):
PA or Group Practice:

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Volunteer

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Volunteer

Basic Information

Mailing Address

Contact Info

Employment

Please answer the following questions.

What days and times would you usually be available to volunteer? (Most of our clinical volunteers serve at least once a month. Most of our regular non-clinical volunteers serve at least once a week.)