Volunteer Application
Please complete the following for volunteer opportunities r at Christ Community Health, Augusta.

Our Mission: To proclaim Jesus Christ as Lord and to demonstrate His love by providing affordable, quality primary health care to the underserved.

Email address *
Name (Last, First)
Your answer
Cell Phone Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Our Mission is to proclaim Jesus Christ as Lord and to demonstrate his love by providing affordable quality primary healthcare to the underserved. As a volunteer how can you contribute to the mission of Christ Community Health? *
Your answer
Why are you interested in volunteering at Christ Community Health?
Your answer
How did you hear about Christ Community Health?
Your answer
Have you ever volunteered at a non-profit organization or health clinic? If yes, where and what did you do?
Your answer
Are you a student?
If yes, what school do you attend?
Your answer
If yes, explain:
Your answer
Do you have any experience or training in the following areas? Please check all that apply.
Are you bilingual?
If yes, please explain.
Your answer
Have you volunteered with us before?
Have you applied for a job with us?
Are you CPR Certified?
Do you have any medical certifications?
If yes, please explain.
Your answer
When can you start your volunteer service? *
MM
/
DD
/
YYYY
Are you able to commit to at least 6 months of consecutive volunteer services? *
Days of the week available to volunteer:
Next
Never submit passwords through Google Forms.
This form was created inside of Christ Community Health Augusta. Report Abuse - Terms of Service