Volunteer

Volunteer Services Application

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Name(Required)
Home Address(Required)
Mailing Address(Required)
(If applicable)
Employer Address

In Case of Emergency Contact

Emergency Contact Name(Required)

Personal References

Reference 1 Name
Reference 2 Name
I understand that membership in the Auxiliary shall be open to all persons regardless of race, color, creed or sex and being the age of adulthood. Candidates should desire a long term commitment as opposed to a summer or holiday activity and shall not be seeking membership as a means of being employed. Given the nature of a hospital setting and the many governing bodies, laws, regulations, and other requirements that must be adhered to by all associated, the candidate must be of aptitude or ability to read and comprehend information pertinent to their assignment and other hospital wide requirements. In addition, they must portray a professional appearance while exercising reason and sound judgment.
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Remit: Vickie Simmons, P.O. Box 2208, Anniston, AL 36202 256-235-5147 vsimmons@rmccares.org