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Junior Volunteer Application

Prospective volunteers will be considered on qualifications and without discrimination because of race, color, religion, sex, national origin, or disability.

Volunteer assignments will be discussed during the personal interviews.

Name
Address
City
State/Zip
/
Phone
E-mail Address
Date of Birth
Parent's/Guardians  
Names
Address
City
State/Zip
/
Phone
E-mail Address
More Information
 
School attending this Fall
Classification
School/Community Church Activities
Hobbies/skills
Are you interested in a medical career? Yes No
Which one?
Why do you want to be a Junior Volunteer?
Please list any relatives employed at Hendrick Medical Center and their relationship to you
Please list any previous volunteer experience including the name of the organization, organization’s address and duties performed
Please list two references (Exclude relatives and minors)
Name
Telephone
Address
 
Name
Telephone
Address
 
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Hendrick Health System
1900 Pine St. • Abilene, Texas 79601 • 325.670.2000