Volunteer Application

Please complete this application form if you are interested in becoming a First Choice Healthcare volunteer. After completing the form click the submit button.

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.
Please list any information you believe will help you in your volunteer work with First Choice Healthcare.


Please indicate the days and times you are usually available to volunteer.

Emergency Contact

Please list one emergency contact to keep on file.


First Choice Healthcare requires two references to be on file before beginning volunteer work. Please list contact information for at least two people who would be willing to provide confidential references on your behalf.
Reference #1
Reference #2