Volunteer Application

Thank you for your interest in volunteering at 1917. Please complete the application below to apply. Please complete the application in one sitting, data left on the form will not save without clicking submit. Allow form to completely load before completing required fields.

Contact Information

First Name(*)

Invalid Input

Last Name(*)

Invalid Input

Preferred/Chosen Name

Invalid Input

Pronouns

He/Him/His

She/Her/Hers

They/Them/Theirs

I use a different set of pronouns

Invalid Input

Share your pronouns with us.

Invalid Input

What is your date of birth? (use calendar)(*)

Invalid Input

Address (including city, state, zip code)(*)

Invalid Input

Phone Number(*)

Invalid Input

Is this your cell, home, or work number?(*)

Cell

Home

Work

Invalid Input

E-mail Address(*)

Invalid Input

Emergency Contact Name(*)

Invalid Input

Emergency Contact Phone Number(*)

Invalid Input

Availability
1917 operates Monday through Friday from 8am- 5pm with occassional weekend outreach events. For most volunteering opportunities we request volunteers commit to 4 hour shifts.

Please indicate your general availability to volunteer.

What days of the week are you generally available to volunteer?

What time frame would you generally be available to volunteer?

Morning (8AM to 12PM)

Afternoon (1PM to 5PM)

Invalid Input

Prior Experience

Do you have volunteer experience?(*)

Yes

Invalid Input

Please list where you volunteered, dates of service, and duties.

Invalid Input

Are you currently enrolled in school?

Yes

Invalid Input

Where are you enrolled and what is your anticipated graduation date (month, year)?

Invalid Input

Skills and Interests

What languages do you speak?

Invalid Input

What else are you skilled or interested in?

Invalid Input

Please select the roles in which you wish to volunteer.(*)

Clinic Host

Resource Center Host

Birthday Caller

Outreach Events (May include weekends and evenings)

Invalid Input

Please explain why you would like to join the 1917 Volunteer Team.(*)

Invalid Input

In addition to volunteering at 1917, are you interested in volunteering in other areas of UAB Hospital? (ex. UAB Guest Services, TKC, UAB Highlands)

Yes

Invalid Input

If you are intersted in volunteering in areas other than 1917, please visit Volunteer Services (uabmedicine.org) for more information.

Thank you for completing this form and providing us your information!

Click the Submit button below to send your information to the Volunteer Team. You will also receive a confirmation e-mail that your form has been successfully submitted.

Explore UAB

Colleges & Schools

1917 Clinic

1917 Volunteer Application