NYP Brooklyn Methodist
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Volunteer Application Form
Please complete this application form if you are interested in becoming a NewYork-Presbyterian Brooklyn Methodist Hospital volunteer. Once you complete the form, click the submit button at the bottom.
New User Details
User ID
User ID (verify)
Password
Password (verify)
Contact Information
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First name
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Last name
Title
Preferred Name
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Street 1
Street 2
Street 3
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City
State
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AK
AL
AR
AS
AZ
BC
CA
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DE
FL
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GA
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YT
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Zip
*
Home phone
Cell phone
Emergency Contact Information
*
Contact name
*
Relationship name
*
Cell phone
Home phone
Demographic Information
PLEASE NOTE: YOU MUST BE 16 YEARS OF AGE TO APPLY
Are you an Adult or Junior applicant?
Adult (18+)
Junior (16-17)
Preferred Pronouns
She/Her
He/Him
They/Them
Highest Level of Education Completed
Acting School
Associates Degree
BA/BS Degree
BFA Degree
BSN
DDS/MD/PHD
GED
High School Diploma
Home Health Aid
JD
MA/MS
MBA/MPA/MHA/MPH
Medical Assistant
Middle School
MSW
Nursing Assistant
RN
Seminary
Vocational Training
Current Education Program
Certificate Program
College
College Internship
GED
Graduate School
Health Career Training
High School
High School Internship
High School/Community Service
IBCLC apprenticeship
Intermediate school
Medical School
N/A
Nursing School
PHD
Post Bacc
Vocational Training
School Name
GPA
Expected Graduation Date
Assignment Preference
Listed below are some of our specialized programs. It is important to refer back to the descriptions on our website before choosing your program of interest. Pay close attention to program requirements and shifts available.
Program choice
Administrative Assistant
Canine Cuddlers
Dove Program
Labor and Delivery Greeters
Maternal/Child Health Ambassador
Patient Care
Pharmacy
Physical and Occupational Therapy
Recreation Therapy Assistant
Sparks of Life
Welcome Ambassador
Research
Availability
NOTE: Make sure the programs you selected match your availability and the hours of the program
Availability
Sunday
8am-Noon
Noon-4pm
4pm-8pm
5pm-8pm
Monday
8am-Noon
Noon-4pm
4pm-8pm
5pm-8pm
Tuesday
8am-Noon
Noon-4pm
4pm-8pm
5pm-8pm
Wednesday
8am-Noon
Noon-4pm
4pm-8pm
5pm-8pm
Thursday
8am-Noon
Noon-4pm
4pm-8pm
5pm-8pm
Friday
8am-Noon
Noon-4pm
4pm-8pm
5pm-8pm
Saturday
8am-Noon
Noon-4pm
4pm-8pm
5pm-8pm
Bi-lingual Skills
Please indicate other languages in which you are fluent.
Additional languages
Afrikaans
Akan
Aklanon
Albanian
Aleut
Algerian
Amharic
Anishinaabemowin
Arabic
Arawakan
Armenian
ASL
Avestan
Ayapathu
Aymara
Azeri
Bamwe
Bantu
Basa
Basque
Belarusan
Bemba
Bengali
Berber
Bicol
Bisaya
Bobangi
Bosnian
Brahui
Breton
Bukusu
Bulgarian
Burmese
Butuanon
Byelorussian
Cambodian
Cantonese
Catalan
Cayuga
Cebuano
Ch'ol
Chaldean
Chamorro
Chechen
Chewa
Chinese
Chinook
Chorti
Coptic
Cree
Creole
Croatian
Czech
Danish
Dari
Demonh'ka
Dothraki
Dutch
Ebu
Eggon
Egyptian
Emakua
English
Eskimo
Estonian
Etruscan
Fang
Faroese
Farsi
Filipino
Finnish
Flemish
Frankish
French
Fujanese
Fuzhounese
Gaelic
Gaelic (Irish)
Gaelic (Scottish)
Gaelic (Welsh)
Galician
Gamilaraay
Ganda
Gaulish
Gbari
Georgian
German
Gevove
Gilbertese
Gothic
Greek
Guarani
Gujarati
Guyanese Creole patois
Haida
Haitian Creole
Hakka
Halaka
Hausa
Hawaiian
Hebrew
Hiligaynon
Hindi
Hmong
Hungarian
Icelandic
Igbo
Ilocano
Ilonggo
Indonesian
Ingush
Inuit
Inupiat
Italian
Japanese
Jita
Kachi
Kakwa
Kalanga
Kannada
Kapampangan
Karelian
Kashmiri
Katcha
Kazakh
Kerewe
Khmer
Khowar
Kiga
Klallam
Klingon
Kongo
Konkani
Korean
Koyo
Kurdish
Lakhota
Latin
Latvian
Lebanese
Lingala
Lithuanian
Lozi
Luganda
Luwian
Lycian
Lydian
Mabwe
Macedonian
Malay
Malayalam
Maliseet
Maltese
Mandarin
Mandinka
Manx
Maori
Mapudungun
Marathi
Masaba
Mawu
Mayan
Mayangna
Miami
Minbari
Miskitu
Mixtec
Mohawk
Mongolian
Mpongwe
Nahuatl
Nande
Nauruan
Navajo
Ndebele
Nepali
Norwegian
Nyamwezi
Occitan
Ojibwe
Olkola
Olutec
Onondaga
Oriya
Oromo
Oykangand
Pahlavi
Pakahn
Pali
Papiamento
Pashto
Pende
Persian
Phoenician
Phrygian
Pidgin
Piraha
Polish
Popoluca
Portuguese
Potawatomi
Prussian
Punjabi
Quechua
Rasta
Rejang
Romanian
Romany
Rotuman
Russian
Saanich
Sanskrit
Seneca
Serbian
Seri
Shanghainese
Shi
Shona
Signing Exact English
Sindhi
Sinhala
Slovak
Slovene
Sogdian
Somali
Sorbian
Spanish
Sranan
Sudovian
Sumerian
Swabian
Swahili
Swedish
Tagalog
Taishanese
Taiwanese
Tajik
Tamazight
Tamil
Tarahumara
Tarok
Tatar
Telugu
Teochew
Thai
Thracian
Tibetan
Tlingit
Tocharian
Tongan
Treu Chau
Turkish
Turkmen
Twi
Ukrainian
Ulwa
Umbrian
Urdu
Uyghur
Uzbek
Venda
Veps
Vietnamese
Visayan
Votic
Warlpiri
Welsh
Wolof
Xhosa
Yaka
Yao
Yemba
Yiddish
Yoruba
Yupik
Zoque
Zulu
Employment
If you are currently employed, please tell us about what you do. What is your typical work schedule?
About You - Question 1
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Why would you like to volunteer at NewYork-Presbyterian Brooklyn Methodist Hospital? Your application will not be considered if this section is left blank.
About You - Question 2
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List and explain any volunteer experience you've had in a hospital or other settings. Your application will not be considered if this section is left blank.
About You - Question 3
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What do you hope to gain by participating in this program? Your application will not be considered if this section is left blank.
How did you hear about our program?
Please select from the boxes below. Please share the name of your referral in the text box.
Current Volunteer
NYPBMH Employee
School Listserv, Professor, or Advisor
Online
I Agree
I understand and agree that submitting this application form does not automatically register me as a New York-Presbyterian Brooklyn Methodist Hospital Volunteer. I am aware there may be certain qualifications I must meet, including orientation,medical clearance, drug test, background check and a 6 month commitment. By submitting this form, I attest that the information I have provided on the form is true, accurate, and NOT provided by a third party.
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