Application for volunteer service
Thank you for your interest in volunteering with the Lighthouse Clinic!
To start the application process, please complete the form below. The clinic director will contact you via email within a week to follow up on your application. If you don't hear back from us within a week, please call (509) 888-7796 to confirm that your application was received.
Please be aware that you will be asked to complete a background check as part of the application process.
If you are experiencing difficulty with the form, please be sure to use an updated browser that is compatible with Google Forms, such as Chrome, Firefox, Internet Explorer 11, Microsoft Edge, or Safari.
Note: if you see a white screen after continuing to the next page or after submitting the form, please scroll to the top of the screen to see the remaining questions.
First and last name
Date of birth
Emergency contact (name, relationship, phone)
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