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EmailMeForm
Volunteer Continuation Request
This form is for current, active Junior (high school) Volunteers that would like to be considered for continuation after your track ends. Junior volunteers must be on track to meet the Junior Program Participation Requirements in order to be considered.
Name
First
Last
Email
Are you able to commit to a weekly shift for a minimum of 3 months?
Yes
No
Do you wish to remain at the same hospital?
Yes
No
If NO, which hospital do you prefer?
Please select
WakeMed Raleigh
WakeMed Cary
Do you wish to remain in the same department?
Yes
No
If NO, what department(s) would you prefer?
Has your availability changed?
Yes
No
If YES, what is your updated availability?
I understand that submitting this form does not guarantee approval.
A Volunteer Development Specialist will be in contact with you within 2 weeks to let you know if approved to continue to volunteer.
Signature
Clear
