*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? *


Applicant's Pledge