Volunteer Application for Silver Hill Hospital

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Volunteer Application
Our mission is to provide our patients with the best available treatment of mental illness and addictions; and to offer continuing support, counseling and education to our patients and their families in every phase of illness and recovery.

First Name
Last Name
Former Patient?	Yes No
Home Address
City
State
ZIP Code
Home Phone
Cell Phone
Email
Employer/School
Business/School Address
Duties/Responsibilities
Education
Special Skills/Foreign Languagues
Why are you choosing to volunteer at Silver Hill?
Reference (Name, Phone Number, Relationship)
Please check days & times you will be available to volunteer:	Sunday Monday Tuesday Wednesday Thursday Friday Saturday Mornings Afternoons Evenings All Day
Please indicate the type of volunteer work you would like to do:	Gift Shop Library Aid Flower Services Recreational Therapy Assistant 12-Step Practicum Group Leader (see below to enter Sober Date) Mental Health Recovery Share Group Clerical Services Fundraising Concierge/Greeter Services Hobby Group (specify below) Other (specify below)
If applicable, please enter your sober date (MM/YYYY)
If applicable, please enter a specific hobby or other activity you are interested in volunteering for

"I think it is very important to give back. The first day I volunteered in the Admissions Office I knew that I would make sure to help the people coming in feel comfortable and safe like I did."-Norine M.