Welcome to the web portal for LMH Volunteers

Junior Volunteer Application

Volunteer Application


Personal Information
Application Entry Date
First Name
Last Name
Home Address
City
State
Zip Code
Home Phone
Cell Phone
T-shirt Size
E-mail Address
DOB
Gender

Education and Skills
Name of Current School
Current Grade in School
Anticipated Graduation Date
Current GPA
School Interests/Activities
Other Hobbies/Activities

Emergency Contact Information
Relationship
Contact name
Home Phone
Cell Phone
Work Phone
Physician

Volunteer Experience
How did you hear about us?
Previous Volunteer Experience
Do you have family or friends who work or volunteer at LMH?
Yes
No
If yes, who and how do you know them?
Yes
No
Are you volunteering to fulfill a community service requirement?
If yes, please complete the following:
Name of organization
Number of Hours Required
Required date of Completion
Available to Volunteer
Monday
Tuesday
Wednesday
Thursday
Friday
9am-12pm
9am-12pm
9am-12pm
9am-12pm
9am-12pm
1-4pm
1-4pm
1-4pm
1-4pm
1-4pm
4-6pm
4-6pm
4-6pm
4-6pm
4-6pm
Please write a brief statement about why you wish to be a Junior Volunteer:
If you are under 18, you will also need to print and sign the
Parental Signatures Page.
The Parental Signature Page can be found on the main menu of the Volunteer Page.