PASSIONATE ABOUT GIVING BACK?

Join Our Volunteer Team

Complete the application below and a member of our team will be in touch to get you started.

Personal Information

Date *

First Name *

Last Name *

Cell Phone *

Email Address *

Street Address *

City *

ZIP Code *

Date of Birth * Volunteers must be 18 or older for certain functions.

Emergency Contact

Emergency Contact Name *

Phone Number *

Relationship *

Agreement & Certification

By submitting this application, I certify that the above information is true and accurate. I have read and agree to adhere to all Woven Health Clinic Volunteer Policies and Guidelines, including the Confidentiality Policy. I understand that my services are donated without contemplation of compensation or future employment.

I have read and agree to Woven Health Clinic's Volunteer Policies, Guidelines, and Confidentiality Agreement. I understand that breach of patient confidentiality may be considered grounds for dismissal.

I agree that the above information is true and accurate.

Printed Name *

Date *

⬇ Download Volunteer Handbook

Volunteer Application

Join Our Volunteer Team

Farmers Branch Clinic