Volunteer Request Form

After reviewing the Steps to volunteering at CHKD, please complete the form below to be contacted to set up your interview. Please note that you must have all required documentation with you at the time of the interview. Thank you for your interest and support!

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: