VSys Web application

Hillsborough Hospital Application

Please fill out this form to volunteer with us. If you are in high school or an undergrad, please do not completed this application and refer to our high school and undergrad webpages on how to apply. Thank you!

Application Date

* Last Name

* Legal First Name

Preferred Name (for ID)

Middle Name

* E-mail (All communication will be sent here.)

Gender (optional)

Date of Birth (optional, but will be needed for ID)

Group

Address

* Street

* City

* State

* Zip

* Preferred Phone

Secondary Phone

General Information

Highest Degree Attained (If you are in high school or an undergratuate, please do not fill out this application) (Required - Pick One)

University/School

Area of Study

* Current Occupation

Employer

Additional languages

Note: Onboarding requirements are different for UNC Health Employees. Please reach out to Volunteer Services for more details if you are an employee.

Emergency Contact Information

* Emergency Contact Name

* Relation to Applicant

* Phone

Preferred Service Areas: Refer to Volunteer Areas on our website.

Primary Choice (Required - Pick One)

Choice 2 (Required - Pick One)

Choice 3

* Why did you choose the service areas listed above?

* What do you hope to gain from this experience?

* Days and Hours Available?

* How did you learn about Volunteer Services?

* I understand that I must obtain a criminal background check from the specified Consumer Reporting Agency (CRA) chosen by UNC Health. I authorize UNC Health access to those results as well as use of the last 4 digits of my SSN should my volunteer area require access to UNC Health technology.

* I understand by completing this application that I agree to a minimum of 40 hours and 6 months of service.

* I understand that my application will be kept active for 90 days. After that tme, if I am still interested in volunteering, I will need to reapply.