Volunteer Form: Hospital Support 2022
Hospitals from across the state of Delaware are in need of additional help and CHS students are able to volunteer to assist during this unique time.

Please note this volunteer opportunity is not hosted by or organized through the University of Delaware. Once you submit this form, you will be provided with a link to complete your registration through the State of Delaware.

Please see the areas of need and note your availability below.

NOTE: In order to volunteer, students need to be vaccinated and follow any additional safety protocols (ex. mask wearing) of the site.

Sign in to Google to save your progress. Learn more
Email *
Untitled Title
First Name *
Last Name *
Cell Number *
Department/Program *
Areas of Need: (Please select all that you could assist with.) *
Required
Availability (Days/Times) [Example: M: 3pm-8pm / Th: 8am-1pm]: *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of Delaware. Report Abuse