Volunteer Information Request Form

To receive an informational letter regarding volunteering at CHKD, please complete the form below. You will receive a letter outlining the health history requirements for the program and instruction for scheduling your personal interview. Thank you for your interest and support!

Update: The Junior Volunteer Program for 2007 is full and is no longer accepting applications. You can apply for next year's program beginning on March 1, 2008.

Name:
Address
City:
State:
Zip Code:
E-mail Address:
Phone Number:
Program Interest:
Comments:
Additional Information for Junior Volunteers Only
Candidates must be at least 14 years old by Jan. 1 of the year in which they wish to participate.
Birthdate:
School Affiliation: