Volunteers are a very important part of the PMHH team. Adult and youth volunteers add a "spice of life" for patients and residents by volunteering their skills and talents throughout the facility. Thanks for your interest in joining our volunteer program. Please submit the following information and we'll contact you soon.

Name:
Age:
Phone:
Address:
Birth date:		SSN:
Drivers license number:
Person to notify in emergency:
Relationship:
Phone:
General interests and hobbies:
Please check the areas that you are interested in volunteering:
One-to-one visits	Playing cards	Helping children	Sewing
Hair care	Writing letters	Outdoor work	Crafts / artwork
Manicures	Reading books	Entertainment	Exercise program
Serving refreshments	Knitting	Baking	Escorting
Bingo	Bowling	Bulletin board	Gardening
Office work	Sharing hobbies	Taking residents for walks	Special Events
Other:
Languages:		Read:
Write:		Speak:
Where would you like to volunteer?
Hospital	Nursing Home	Home Care	At home assignments
Days of the week you are available to volunteer:
Monday	Tuesday	Wednesday	Thursday
Friday	Saturday	Sunday
Time of the day you are available to volunteer:
Morning	Afternoon	After School	Evening