Junior/Student Volunteer Application Form

As a student volunteer, I understand that I am required to:

  • Be over 16 years of age
  • Maintain at least a 2.5 average (C+) GPA
  • Have a written consent form from a parent or guardian
  • Have a referral from a school counselor or principal
  • Follow the hospital rules and regulations
  • Work one regularly scheduled shift per week
  • Commit to one semester (marking period)
  • Contact the Volunteer Manager immediately regarding any absences from duty.

Failure to do so may result in termination from the volunteer program.

Use the form below to apply to become a junior or student volunteer at New London Hospital. Someone from our Volunteer Office will contact you.