Welcome to the web portal for LMH Volunteers

Volunteer Application

Volunteer Application


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

Education and Skills
High School Graduate
College Student
Current Year in School
Current Major
College Graduate
Graduation Date
Graduation Major
List any additional training, classes or skills

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

Employment and Volunteer Experience
How did you hear about us?
Name of Current Employer
Supervisor Name
Phone Number
Hobbies/Interests
Other Business Experience
Previous Volunteer Experience
Areas of Interest
Available to Volunteer
Monday
Tuesday
Wednesday
Sunday
Morning
Morning
Morning
Morning
Afternoon
Afternoon
Afternoon
Afternoon
Evening
Evening
Evening
Evening
Thursday
Friday
Saturday
Morning
Morning
Morning
Afternoon
Afternoon
Afternoon
Evening
Evening
Evening