McCullough-Hyde Memorial Hospital

Adult Volunteer Application Form

Please make sure that before filling out this application, you have already submitted the Pre-volunteer background inquiry release.

In case of emergency, contact

Personal or professional references (please do not use relatives)

Interests / Skills

Please indicate which areas/duties you would be willing to share as a volunteer here.

I understand that my signature indicates approval for MHMH to perform a background check and/or request fingerprints. Please be aware that McCullough-Hyde Memorial Hospital, Inc. is not obligated to provide volunteer placement, nor are you obligated to accept a position.