Thank you for your interest in supporting patients, guests and staff at Northern Dutchess Hopsital.

The volunteer onboarding process includes submission of  (this) completed volunteer application and other forms, which are "linked" below. Once received, an interview will be scheduled, if volunteer opportunities are currently available that may align with your areas of interest. Note that medical clearance and a criminal background check are ultimatgely a part of the mandated volunteer application process. 

If you have any questions, please reach out to James Glynn by emailing James.Glynn1@nuvancehealth.org

 

Forms can be downloaded here:

1. HIPAA Form. Please click here to download.

2. Multimedia Consent Form. Please click here to download.

3. Nuvance Health Confidentiality. Please click here to download.

Personal Information

Emergency Contacts

(Daytime)

Education

About You

Availability

Please indicate the days and hours you would prefer
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

References

Please list at least 2 recent references: (References must be a former/current employer or someone other than friend or family who can vouch for your character).

Reference 1

Reference 2

Tell Us More

Final Steps
Please upload your completed forms
I certify that the information in this application is correct to the best of my knowledge. I authorize the investigation of all matters contained in this application and agree that any misleading or false statements shall be cause for rejection of this application and will be cause for immediate dismissal.
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