EMH Home » Careers » Volunteer » ApplicationPlease enable JavaScript in your browser to complete this form.Three types of volunteer work you would like to do.How many hours per week would you be able to dedicate?3 hour or less3 to 5 hours5 to 10 hours10 to 20 hours20 or more hoursWhat days of the week are you available?MondayTuesdayWednesdayThursdayFridaySaturdaySundayHow did you find out about our organization?Direct mailAdvertisementOnline SearchFriend / FamilyBusiness Colleague OtherPlease list any relevant experiences you have that you feel would benefit any of the above programs or events.Name *FirstLastAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *EducationHigh SchoolCollegeDegree EarnedWork Status *Employed RetiredUnemployedLast EmploymentPast Work Experience In case of emergency, please notify:Name *FirstLastRelationshipPhonePhysician's NamePhysician's PhoneEmailSubmit