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Volunteer Services Application

Complete this form and mail it back to Volunteer Services Department, Trinity Hospital, 2320 East 93rd Street, Chicago, IL 60617-9984.

Yes, I’d like to become a Trinity Hospital volunteer. Please call me to schedule an interview.

___________
Name

___________
Address

___________
City		 ___________
State		 ___________
ZIP Code

___________
Telephone Number

___________
Date of Birth

___________
The best time to call

My top three choices of volunteer areas are:
____ Book/Gift Cart ____ Emergency Department ____ Family Wellness Center
____ Gift Shop ____ Infection Control ____ Library
____ Marketing/Public Relations ____ Medical Records ____ Medical Staff Office
____ Nursing ____ Obstetric Unit ____ Pharmacy
____ Physical Therapy ____ Respiratory Care ____ Same Day Surgery
____ Other_________

____ Please contact me about the Career Program. I am interested in the following area(s):
____ Business Administration ____ Diagnostic Imaging ____ Human Resources
____ Intensive Care Unit ____ Marketing/Public Relations ____ Nursing Units (various)
____ Pediatrics ____ Pharmacy ____ Physical Therapy
____ Respiratory Care  

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