Volunteer Program Application Form

Thank you for your interest in the Volunteer Service Program at Clearview Cancer Institute. We are fortunate to have many caring volunteers who support the Institute’s mission through their dedicated service to our patients, families, and visitors. One of the greatest benefits of volunteering at Clearview is the satisfaction of knowing you are helping others at a critical time in their lives.

The first step to becoming a volunteer at Clearview Cancer Institute is to complete this application form. We will review your application and contact you to schedule an interview.

Once you complete the form, please make sure to click the "Submit Application" button at the bottom.

Thank you for your consideration,

 -Rebekah Ormond, Volunteer Coordinator

Contact Information:

Please let us know your full name.
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Please let us know your email address.

Demographic Information

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Volunteer & Community Activities

Please tell us about your volunteer experience and community involvement.

Please let us know your message.

Employment History

Please list your current or most recent employer, if applicable.

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References

References may not be members of your family or individuals with whom you reside.

First Reference

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Second Reference

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Your Preferences

Please check the days and times that you are available to volunteer on a regular basis. Volunteers are asked to commit to a two-hour shift each week.

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Emergency Contact

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Tell Us About Yourself

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YOUR RESOURCES

Cancer Treatment

UNDERSTAND TREATMENT OPTIONS

YOUR RESOURCES

Clinical Trials

REVOLUTIONIZING CANCER CARE

YOUR RESOURCES

Lung Screening

WHY SCREENING SAVES LIVES