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Career Center
Volunteer Application

Lakeview Volunteer Services Application

630 East Medical Drive, Bountiful, Utah
Telephone: (801) 299-2595

Application Date:

Applicant Name: Present Address: Phone Number: Can you be called in the early AM?

yes
no

Email Address: Emergency Contact:

How did you learn about volunteer positions at Lakeview? Previous volunteer experience: Hobbies, talent/skills:

Desired Service:

Days Available

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Shifts Available

9am to 12 noon

12 noon to 3pm

3pm to 6pm

6pm to 9pm

Are you available to substitute?

yes

no

Can you commit to at least six months, three hours per week?

yes

no

Reason for volunteering: Lakeview Hospital will benefit from my service because:

Personal Reference (Other than relatives):

Reference Name: Reference Phone:

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Events

Hospital Switchboard 24/7

801-299-2200

Free Physician Referral

801-299-2504

Class & Event Registration

801-299-5959

Make Same-Day Appointments

877-870-3745

See Our Classes & Events Calendar