Create Volunteer Profile



Welcome to the Christian Health Care Center Community Event Registration & Volunteer Information System (CERVIS). Thank you for your desire to serve as part of the Christian Health Care Center team. Please complete the information requested below to submit your application for review. We look forward to serving with you!


* Indicates a required field
Volunteer First Name:*
Volunteer Last Name:*
Volunteer Address:*
Volunteer Address Line 2:
Volunteer City/Town:*
Volunteer State:*
Volunteer Zip Code:*
Volunteer Primary Phone:*
Volunteer Alternate Phone:
Volunteer E-mail:*
Confirm E-mail:*
Volunteer Password:*
Confirm Password:*
Volunteer Birth Date:*
Emergency Contact Name:*
Emergency Contact Phone:*
Volunteer T-Shirt Size:*
Upload Volunteer Profile Photo:
Choose Image


(.jpg or .jpeg format only and less than 5MB in size.)
Volunteer Skills:
Volunteer Availability:
Volunteer CHCC Employee:

Volunteer Commitment

I will notify the Volunteer Coordinator if I am unable to keep my volunteer assignment. I agree to abide by the requirements and regulations of CHCC and the service to which I am assigned. I will be punctual, courteous, dependable, and keep in confidence all information that I may hear concerning a patient, resident, client, consumer, CHCC team member, volunteer, or their family member. I commit to volunteering for at least 40 hours during the calendar year.

 

Photo Consent

I consent to be photographed for marketing or publicity purposes by CHCC. I understand these photographs may be used for advertisements, publications, social media, and placement on the CHCC website among other marketing and promotional opportunities.

 

Parent/Guardian Photo Consent (for teen 13-17 years old)

I grant permission for my teen to be photographed for marketing or publicity purposes by CHCC. I understand these photographs may be used for publications, advertisements, social media, and placement on the CHCC website.