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Volunteer Interest Form

Thank you for your interest in the Volunteer Program at St. Charles Hospital.  Our priority is for our program to be mutually beneficial for its participants and the hospital.

This form is for individuals 18 and over and makes us aware that you are interested in volunteering at St. Charles Hospital and would like an application sent to you.  

Individuals interested in our Junior Volunteer Program (for ages 15-17) should call (631) 474-6365 to request an application.