Junior Volunteer Program

Alum - 2015

Application Instructions - Please complete the following:

Application (PDF) completed and signed by applicant and parents
Medical Information Form (PDF) signed by parents
Three Strikes and You’re Out Form (PDF) signed by applicant and parents
Confidentiality Agreement (PDF) signed by applicant
Transportation Form (PDF) signed by parents
Proof of grade point average (minimum 3.0 GPA) – copy of current report card
Copy of driver’s license/school photo ID

IMPORTANT!
All completed forms and copies must be returned to Volunteer Services before May 1.

Mail to:
Pam Parker
Volunteer Services
Woman’s Hospital
P. O. Box 95009
Baton Rouge, LA  70895-9009

Or stop by our office, at the new campus, 100 Woman’s Way.