Boone County Hospital

Volunteer Application

Boone County Hospital Volunteer Application

Boone County Hospital Auxiliary
Attn: Auxiliary
1015 Union Street
Boone, Iowa 50036
Fax: (515) 433-8926

You must be 18 years of age or older to become a volunteer at Boone County Hospital.

Indicates a Required Field
Name:
Email:
Telephone:
Address 1:
Address 2:
City:
State:
Zip:
Person to contact in case of emergency:
Contact person's phone number:
Have you ever worked or volunteered for this organization before?:
Yes
No
Education / Special Training:
Work Experience:
Please explain how you heard about our volunteer program:
Please indicate in what areas you would like to volunteer:
Atrium Host
Surgery Host
Gift Shop
Coffee Shop
Mail & Flower Delivery
Please check mark the days which you are available to volunteer:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Hours vary in each area. Please contact the volunteer office at (515) 433-8139 and leave a message. A volunteer will return your call with the hours.:
Reference Name 1:
Reference Address 1:
Reference City 1:
Reference State 1:
Reference Zip 1:
Reference Email Address 1:
Reference Phone Number 1:
Reference 1 Relationship to You:
Reference Name 2:
Reference Address 2:
Reference City 2:
Reference State 2:
Reference Zip 2:
Reference Email Address 2:
Reference Phone Number 2:
Reference Relationship to You 2:
Verification Code:
Boone County Hospital
1015 Union Street
Boone, IA, 50036
T: (515) 432-3140
F: (515) 433-8926
Email: lschmidt@bchmail.org
About Us
Boone County Hospital is a 25-bed critical access hospital that has been serving the healthcare needs of Boone County and the surrounding communities since the early 1900s. Our mission is to improve and enhance the health and well-being of those we serve.
© 2017 Boone County Hospital. All Rights Reserved.
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Boone County Hospital is licensed by the State of Iowa
© 2017 Boone County Hospital. All Rights Reserved.
Boone County Hospital is licensed by the State of Iowa.