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Volunteering at a Care New England Organization
Are you interested in volunteering? We are happy to learn about your areas of interest.
If you are 18 years or older, please fill out the form below and submit. If you are under 18 years old, please call us and we will send you a teen application.
Butler: 401-455-6245; CNE Home Health: 401-737-6050; Kent: 401-737-7010, extension 1328; Women & Infants: (401) 274-1122, ext 2255
An
*
asterisk next to the question indicates
required information
.
Personal Information
Full Name:
*
Address:
*
City:
*
State:
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Zip:
*
Home Telephone:
*
Mobile Phone:
Email Address:
*
Education
(School Name and Degree)
High School:
*
College/University:
Other:
Work /Volunteer Experience
Current/Most Recent
Employer/Organization:
*
Position & Dates:
*
Duties:
*
Previous Employer/Organization:
Position & Dates:
Duties:
Previous Employer/Organization:
Position & Dates:
Duties:
Additional Information
Are you under the age 18?
Yes
No
Why are you interested
in volunteer work?
*
Required to
General Interest
If required, please explain.
How many hours required?
Flexible
1-5
5-10
10-15
15-20
20+
Contact Person:
What type of volunteer work
are you interested in?
*
At which affiliate do
you want to volunteer?
*
Butler Hospital
Kent Hospital
Care New England Home Health
Care New England Wellness Centers
Women & Infants Hospital
How many days per week
do you wish to volunteer?
*
1
2
3
What time of day
do you prefer to volunteer?
*
Morning
Afternoon
Evening
Do you speak another language
fluently other than English?
Yes
If so, which language(s)?
*
Have you ever been convicted or sentenced for any violation of the law?
Yes
No
If yes, when and for what charge?
A yes will not be an absolute bar to volunteering.
Do you agree to the terms below?
*
Yes
No
Emergency Contact Information
Full Name:
Relationship:
Contact Telephone Number:
I understand that my volunteer work is contingent upon my compliance with the required health screening and by attendance at the Hospital Orientation session.
I agree to maintain strict confidentiatlity in my position as a volunteer.
I understand that any false statements, concealment or withholding of information on this application or in any aspect of the volunteer placement process will be sufficient cause for withdrawl of any offer to participate in the volunteer position.
Two written references are required prior to starting volunteer assignments. Criminal background checks are processed on all volunteers once assignments are determined.
Care New England Health System
|
Butler Hospital
|
Kent Hospital
|
Women & Infants
|
VNA of Care New England
|
Care New England Wellness Center
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