Westerly Hospital

1. Apply Here to Volunteer

Please complete the application. If you have any questions or concerns, you may call 401-348-3969 or email WHVolunteerServices@YNHH.org. Please note that volunteers must be at least 15 years old and have a US social security number in order to complete the background check process.

Application date

* First name

Nickname

* Last name:

* DOB

Gender

* Home Address

* City

* State

* Zip/postal

* Phone (Mobile/Primary)

Phone (Home/Secondary)

* E-mail

* Emergency Contact

* Emergency Phone

* Relationship

Employment Status

If you are a student, please share the school you are attending and your future career goals. If you are in college, please also share your major or concentration.

Are you volunteering to complete court ordered community service?

If yes, how many hours?

Please provide 2 references with email addresses. Personal or business, NO family members

* Reference 1 Name and Email

* Reference 2 Name and Email

Please describe your area(s) of interest (i.e. Courier, Patient Liaison, Patient Safety, Pet Therapy, Music Therapy, etc.). If you are not sure, you may leave this question blank.

Please describe your availability. Note that we typically ask for a three-hour commitment on the same day each week, but we can work with you if your schedule requires more flexibility.

Your signature will also be obtained during the interview acknowledging that you have read and understand the following. Please read this information carefully. I understand and fully acknowledge that, in volunteering for LMH, I am entering an AT WILL relationship and that this relationship can be terminated at any time by me or by LMH for good cause. I give permission for LMH to contact my references. It is my understanding that all information I provide to LMH is true and complete to the best of my knowledge. I understand that giving false information may be sufficient cause for immediate dismissal. I further understand that I may be asked to undergo training and/or testing as applicable.

Please check your spam for a confirmation email. When your application is accepted, you will receive a second email requesting your immunization records.