Volunteer Form

Thank you for your interest in becoming a Bay Medical Volunteer. Please complete the information below.



When are you available to volunteer?


Background Information

Please List Two Personal References

Reference 1
Reference 2
I understand that I am applying to become a volunteer/intern at Bay Medical, not an employee. By signing this application I am acknowledging that all information on this application is true and correct. I also agree to treat all patient and hospital information as confidential and will not discuss the condition of patients or any other information obtained by volunteering/interning at Bay Medical. I understand that breach of this agreement will result in permanent removal from the program.