Volunteer

Thank you for your interest in volunteering.

Contact Information

Name
Street Address
City
State
Zip
Home Phone
Work Phone
Email

Availability

During which hours are you available for volunteer assignments?





Interests

Tell us in which areas you are interested in volunteering








Getting to know you

Do you have reliable transportation

Are there any limitations (be it health or diet) that should be taken into consideration in terms of determining a volunteer assignment?
If yes, please explain:
Do you have a personal tie to LifeFlight of Maine (relative, patient, friend, etc.)? If so, please let us know who
Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

Previous Volunteer Experience

Where else do you do volunteer time?:
Summarize your previous volunteer experience

Emergency Contact

Name
Address
City State Zip
Phone
Work Phone
Email

Agreement & E-signature

As a volunteer/volunteer applicant of the LifeFlight Foundation, understand and agree that any confidential information regarding patients, employees, visitors, donors or any other information which is disclosed to me or that I learn or observe is confidential. By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
I agree
Printed Name
Date


Click here to download/print our volunteer application