UW Health Volunteer Application

New User Details

User ID

User ID (verify)

Password

Password (verify)

UW Health Volunteer Application

Personal Information

* First Name

Middle Name

* Last Name

* DOB (MM/DD/YYYY)

Pronouns are personal and a way for us to show respect and create inclusion. What pronouns would you like the volunteer team use during the application process?

* Current Address

Address Line 2

PO Box

* City

County

* State

* Zip Code

* Primary Phone

Secondary Phone

* E-mail

Current Status and Experience

Are you a college student?

If you are a college student, list all semesters available for a minimum 6 month volunteer commitment

Are you a past UW Health Volunteer?

Are you a current UW Health employee?

Please explain any past volunteer experience. Example: clubs, church, school, other healthcare organizations, ect.

Volunteer Location Interests

* Location of Volunteer Interest (select all interests)

Please Indicate Any Language(s) Known

Emergency Contact

* Name

* Relationship

* Phone