Interested in rebuilding lives and becoming a volunteer or would like to observe in a REHAB setting? Simply fill out and submit this form. 

By completing and submitting this Volunteer Services Form, you agree to the following:
1)  The information that I have provided may be verified.  I give permission to REHAB to make inquiries of others concerning my suitability to act as a REHAB volunteer.

2)  I authorize the release of personal references, employers, and if necessary, other applicable entities to answer questions in regards to volunteer work, employment, ability, character, medical and emotional background, and if applicable, criminal history and driving history.

3)  I understand that REHAB retains sole discretion in decisions regarding volunteer placement based on my skill(s) and abilities and we may not be able accommodate all inquires.  

I affirm that I have read the above and that the information I have given is true and complete and without omission to the best of my knowledge.  I understand that misrepresentation of any material facts may exclude me from consideration from volunteering or may result in termination if discovered after I am accepted as a REHAB volunteer.  I also understand that my volunteering is contingent upon satisfactory completion of a health evaluation as required by law, reference checks, and the availability of volunteer opportunities.

We look forward to having you be a part of our REHAB Ohana!