L+M Hospital

Apply here to Volunteer at L+M

Please fill in all required fields. Note that volunteers must be at least 15 years old. If you have any questions or concerns, please email LMVolunteerServices@YNHH.org. Please reach out if you do not receive an acceptance email within three days of submitting your application.

Application date

* First name

Nickname

* Last name:

* DOB

Gender

* Home Address/ Please list local address if you are a college student

* City

* State

* Zip/postal

* Phone (Mobile)

Phone (Home)

* E-mail

* Emergency Contact

* Emergency Phone

* Relationship

Employment Status

If you are a student, please share the school you are attending and your future career goals. If you are in college, please also share your major or concentration.

Are you volunteering to complete court ordered community service

If yes, how many hours?

Please provide 2 references with email addresses. Personal or business, NO family members

* Reference 1 Name and Email

* Reference 2 Name and Email

Please describe your area(s) of interest (i.e. Pet Therapy, Music Therapy, Patient Safety, Patient Liaison, Transport, etc.). If you are not sure, you may leave this question blank.

Your signature will be obtained during the interview acknowling that you have read and understand the following. Please read the following carefully. I understand and fully acknowledge that, in volunteering for LMH, I am entering an AT WILL relationship and that this relationship can be terminated at any time by me or by LMH for good cause. I give permission for LMH to contact my references. It is my understanding that all information I provide to LMH is true and complete to the best of my knowledge. I understand that giving false information may be sufficient cause for immediate dismissal. I further understand that I may be asked to undergo training and/or testing where applicable. IF YOU DO NOT RECEIVE AN AUTO REPLY ACCEPTANCE EMAIL WITHIN 3 DAYS OF SUBMITTING YOUR APPLICATION PLEASE REACH OUT TO, LMVolunteerServices@YNHH.ORG PLEASE CHECK YOUR SPAM BOX FOR ACCEPTANCE EMAIL