*Required Fields

*Please select which you would like to volunteeer for

Personal Information





*Preferred Contact

*Days

*AVAILABILITY - During which hours are you available for volunteer assignments?

*Please check which areas you are interested in volunteering

Volunteer Information

*Do you want to have patient contact?

Volunteer Background Check

*Are you over the age of 18?

*Have you ever worked for Bakersfield Memorial Hospital?

*Have you ever been sanctioned by the Office of Inspector General of the Department of Health and Human Services, (HHS/OIG) or the Government Services Administration (GSA) or excluded or suspended from participation in any federal or state healthcare program?

Physical and Medical Background

*Are you able to perform the essential functions of the volunteer position with or without accommodation?

References

Applicant's Pledge