Adult Volunteer Application Form

If you are an adult, you can fill out the online form below or print out the application PDF document , fill it out and mail or fax it to us. Our address and fax number are on the bottom of the application.

Personal












Prior Affiliation with SUNY Upstate:
         If Yes,
Emergency Contact






Employment Information
Are you: (please check all that apply)










I submit my name for consideration to volunteer at University Hospital. I understand that, ideally my association as a volunteer will extend far into the future, but a commitment of at least 100 hours is expected during the first 6 months of service. In addition, the college volunteer program is based on a per semester basis and requires a 50 hour commitment per semester.