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VOLUNTEER

PACS would not be able to serve people in need without its volunteers. The organization has over 250 dedicated individuals who donate their time and talent to make a difference. We would love to have you join our exceptional team. You can apply using the form below.



VOLUNTEER APPLICATION

First Name

Last Name

Street/City/State/Zip

Home Phone

Mobile Phone

Email

Gender
Male
Female
Age

Birthdate

Any physical limitations?
Yes
No
Explain

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

How did you become interested in volunteering at PACS?

Are you or were you ever a volunteer at another organization?
Yes
No
If yes, where?

What Hours?

What days would you prefer to volunteer?

What shift works best for you?
Morning
Afternoon
Do you speak a foreign language?
Yes
No
Specify

Please list community organizations, clubs, etc. to which you belong and any offices held:

Please list any skills in which you have training, exerpience or special interest:

Personal Reference #1 Name

Personal Reference #1 Phone

Personal Reference #2 Name

Personal Reference #2 Phone

I understand PACS is a drug-free/alcohol-free workplace. Any reason for suspicion of drug or alcohol use will be reason for dismissal as a PACS volunteer.
Yes
No
VOLUNTEER PLEDGE Believing that PACS has a real need of my services:

I WILL be punctual and conscientious in the fulfillment of my duties and accept supervision graciously.

I WILL conduct myself with dignity, courtesy and consideration.

I WILL consider as confidiential all information which I may hear directly or indirectly concerning a customer, client, patient, doctor, or any of the personnel and will not seek information in regard to any of the above.

I will take any problems, criticisms or suggestions to the Volunteer Manager.

I will respect and be careful with all of PACS' property.

I will uphold the traditions and standards of this agency and will interpret them to the community at large.

I will follow this pledge:
Yes
No

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