Volunteering at a Care New England Organization

The volunteer application is temporarily down. Please call one of the following numbers:
Butler: 401-455-6245
VNA of Care New England: 401-737-6050
Kent: 401-737-7010, extension 1328
Women & Infants: 401-274-1122 ext 2255

Are you interested in volunteering? We are happy to learn about your areas of interest.
If you are 18 years or older, please fill out the form below and submit. If you are under 18 years old, please call us and we will send you a teen application.

Butler: 401-455-6245; VNA of Care New England: 401-737-6050; Kent: 401-737-7010, extension 1328; Women & Infants: 401-274-1122 ext 2255.

An * asterisk next to the question indicates required information.

Personal Information

Full Name:

Address:

City:

State:

Zip:

Home Telephone:

Cell Number:

Email:

Education

(School Name and Degree)

High School:

College/University:

Other:

Work /Volunteer Experience

Current/Most Recent Employer/Organization:

Position & Dates:

Duties:

Previous Employer/Organization:

Position & Dates:

Duties:

Previous Employer/Organization:

Position & Dates:

Duties:

Additional Information

Are you under the age 18?:

Yes

No

Why are you interested in volunteer work?:

Required to

General Interest

If required, please explain. :

How many hours required?:

Contact Person:

What type of volunteer work are you interested in? :

At which affiliate do you want to volunteer?:

How many days per week do you wish to volunteer?:

1

2

3

What time of day do you prefer to volunteer?:

Morning

Afternoon

Evening

Do you speak another language fluently other than English?:

Yes

If so, which language(s)?:

Have you ever been convicted or sentenced for any violation of the law? :

Yes

No

If yes, when and for what charge?:

A yes will not be an absolute bar to volunteering.

Do you agree to the terms below?:

Yes

No

Emergency Contact Information

Full Name:

Relationship:

Contact Telephone Number:

I understand that my volunteer work is contingent upon my compliance with the required health screening and by attendance at the Hospital Orientation session.
I agree to maintain strict confidentiatlity in my position as a volunteer.
I understand that any false statements, concealment or withholding of information on this application or in any aspect of the volunteer placement process will be sufficient cause for withdrawl of any offer to participate in the volunteer position.

Two written references are required prior to starting volunteer assignments. Criminal background checks are processed on all volunteers once assignments are determined.