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Washington County Health System
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Please use this form if you are interested in volunteering at the hospital. We will mail an application to you after receiving this information.

Name(First, Middle Initial, Last)
Home Phone Number
State, Zip
Are you interested in applying as a Volunteen (ages 14-18) or as an adult Volunteer?
Adult Volunteer Volunteen
Who / what interested you in volunteering?
desire to help others
hospital reputation
opportunity to meet people
opportunity to learn new things or gain job experience
Volunteer experience
Work experience
Type of volunteer service you are interested in
clerical support (data entry, phone, filing)
public contact (information desk, gift shop, thrift shop, coffee shop, escort, lobby guide)
fundraising special events
patient contact (visiting patients, nursing unit support positions designed for students seeking medical careers, care and comfort, flower delivery)



© 2009
Washington County Health System
251 East Antietam Street
Hagerstown, MD 21740

TDD: 1-800-735-2258