Amistad Health Volunteer Application  
Thank you for your interest in volunteering at Amistad Health. Please fill out this form, and our HR team will contact you.
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Name *
Email
Phone  *
Date of Birth
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Are you a citizen of the United States? *
Do you have any relatives employed by Amistad
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Reference (Name, Relationship, Email, Phone)
Address *
Areas of Interest *
Previous Experience
Why Volunteer ? *
  How many hours per week do you want to volunteer?   *
  Which days are you available to volunteer?  
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Disclaimer

I confirm that the information provided in this form is true and accurate to the best of my knowledge. I understand that this form is for volunteer registration purposes only and does not guarantee a position. I also give my consent for Amistad Community Health Center to conduct a background check as part of the volunteer onboarding process.

Do you agree to the above disclaimer and authorize us to proceed accordingly, including background checks if necessary?   *
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