Volunteer Application Please enable JavaScript in your browser to complete this form.Applicant InformationName *FirstLastPreferred PronounsEnglish Language Skills *Native/PrimaryConversationalBasic ProficiencyNoneSpanish Language Skills *Native/PrimaryConversationalBasic ProficiencyNoneOther LanguagesList any other languages known and skill levelAre you over the age of 18? *YesNoContact InformationEmail *PhoneAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEducation/Certifications/Specialized TrainingAre you a licensed Medical Provider? *YesNoHigh School/Primary School *Graduated/GED *YesNoUndergraduate DegreeGraduate DegreePost Graduate DegreeVocational/Specialized CertificationsExperience/InterestsCheck All that Apply *Medical SkillsCounselor/CounselingClerical/Office SkillsOutreach PresentationsPublic Relations. MarketingEvent PlanningFile/Records ManagementCustomer ServiceSocial Media/WebSpanish InterpretationData EntryData ResearchIT/Technology SupportBoard of DirectorsOther (Specify Below)Other skills or interestsAvailability (Check all that apply)Days *MondayTuesdayWednesdayThursdayFridayWeekendsHours *MorningAfternoonEveningAnytime!Why do you want to volunteer with Amador Health Center? *Also anything else you would like us to know.Resume/CV (Optional) Click or drag a file to this area to upload. Referred By (optional)FirstLastSubmit