Volunteer Application Please fill out the following form if you wish to volunteer with Grand Itasca. Name Address Phone Email Please list two references (not family members): First Reference's Name First Reference's Phone Second Reference's Name Second Reference's Phone Why do you want to become a volunteer? Please check all areas of interest and times Special Projects Shift times vary for this role Volunteer Concierge Program Shift times vary for this role Grand Gifts Gift Shop 9:00 AM - 12:30 PM 12:30 PM - 4:00 PM Information Desk 8:30 AM - 12:30 PM 12:30 PM - 4:30 PM Surgical Reception Desk 7:30 AM - 11:00 AM What day of the week do you prefer to volunteer? Monday Tuesday Wednesday Thursday Friday How often would you prefer to volunteer? Weekly Monthly Casually Substitute Volunteer activities or other organization in which you are involved: Please describe any past work experience I will make every effort to fulfill my commitment to the volunteer program. I understand that all information I may obtain, directly or indirectly, concerning clinic & hospital patients, employees, other volunteers, or physicians is strictly confidential.
