Name: Volunteer Request Form
Published: 2020-01-09T18:22:04+00:00

Volunteer Request

If you need adult or summer teen voluteers, please use the form below to make your request. The details on this form ensure our volunteers have a meaningful experience and are an asset to your area - so please provide as much detail as you can. As a reminder, volunteers are NOT allowed to participate in direct patient care. In addition, we do not place summer teen volunteers in the same area with family members who may work at Grady.

Department Info:
Volunteer Type:*
- Adult
- Teen
Department Requesting:*
Assignment Location:*

(Floor, Wing, Room#)
Closest Elevator:*
Date / Time Department is Closed:*
Staff Info:
Staff Contact / Supervisor for Volunteers:*
Phone*
Email*
Staff Contact / Supervisor for Volunteers:
Phone
Email
Scheduling Info:
Number of volunteers needed at a time:*
Days needed:*
- Sunday - Saturday
- Monday - Friday
Hours needed:*
- 6AM - 11PM
- 8AM - 8PM
- 9AM - 5PM
Volunteer Duties:
Description of tasks/duties:*

Volunteer Request

Department Info:

Staff Info:

Scheduling Info:

Volunteer Duties: