VOLUNTEER APPLICATION

Please complete this application if you are seeking a medical or non-medical application. For details on what each entails, as well as the current open positions, please click here. You will also find there a list of documents that you should upload with this application. If you have any difficulty with the process, please email us at: admin@wellonehealth.org.

Volunteers are currently accepted at the Perris location only.

Come Volunteer With Us

Today's Date

Birthdate

Preferred start date:

If you chose 'other' please comment:

Highest level of education

Professional License Number

Name of Professional Certificate/License; If none, put 'NA'

License Expiration Date

Upload copy of license/certificate

Upload File

Current Employer (if student put name of school). If unemployed put 'NA'

Date of hire

Responsibilities

List previous work experience in last 5 years, with dates, and responsibilities

List any special skills or training

List languages spoken, other than English

If yes, state: name of clinic, dates worked, role, and duties

List any other experienes you have that might be useful in this organization

State why you wish to volunteer with us and what you hope to gain from the experience.

List any physical or cognitive limitations that may prevent you from performing certain tasks

Please list full name, address and telephone number of your emergency contact

Please list 3 current references who can attest to your character and professional work. List name, their organization, telephone number, length of relationship.

Please upload resume, proof of immunization, liabilty insurance and CPR.

Upload File

Thanks for submitting!