Section Menu Recent News Congratulations to Our Class of 2025 Family Medicine Residency Graduates! June 12, 2025 Dr. Moseley: Returning Home With a Purpose June 9, 2025 High-Risk Breast Clinic: Personalized Care When It Matters Most June 5, 2025 Food+Art+Health at the Farmers' Market June 4, 2025 OHTLMC Wound Center Recognized for Excellence in Wound Healing June 2, 2025 View More Owensboro Health Twin Lakes Medical Center Volunteer Application Download and print the application or use the form below to apply online. Denotes required fields First Name Middle Name Last Name Mailing Address Email Address Telephone Number Birthdate Social Security Number Employment History Volunteer History Education or Special Training (list graduation dates) Hobbies, Skills, Special Interests Area(s) of Interest as an OHTLMC Volunteer Is volunteering a requirement for school credit? Yes No If yes, how many hours are needed? Have you been convicted of a crime? Yes No If yes, please describe any convictions and give dates: Only as it may determine the best fit for your volunteer duties, do you have any physical handicaps or limitations? Only as it may determine the best fit for your volunteer duties, are you under a physician's care? Personal reference #1 (name, phone number) Personal references #2 (name, phone number) Which days do you prefer to volunteer? Monday Tuesday Wednesday Thursday Friday Saturday Sunday Hours you prefer to volunteer: 8a - 12p (noon) 12p (noon) - 4p Other Anticipated length of service: 1-3 months 6 months - 1 year Undetermined Until find employment Until gain job experience Other Additional information you wish to share: Person who should be contacted in case of your illness or injury while on duty (name, phone number, relationship): Leave this field blank
