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.

Contact Information

Emergency Contact Information

Demographic Information

PLEASE NOTE: YOU MUST BE 16 YEARS OF AGE TO APPLY

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.

Availability

NOTE: Make sure the programs you selected match your availability and the hours of the program
Availability
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Bi-lingual Skills

Please indicate other languages in which you are fluent.

Employment

About You - Question 1

About You - Question 2

About You - Question 3

How did you hear about our program?

Please select from the boxes below. Please share the name of your referral in the text box.

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.
[ clear ]