Search Halifax Health

Volunteer Application

First Name *

Last Name *

Birth Date *

Address 1 *

Address 2

City *

State or Province *

Zip or Postal Code *

Email Address *

Mobile Phone *

Primary Home Phone

How did you hear about Halifax Health Volunteer Services? *

A criminal background check will be completed on all volunteers. This information will not necessarily disqualify you from consideration for voluntary membership in Halifax Health - Auxiliary.

Have you ever been convicted of any criminal offense? *

Yes

Have you ever entered a plea of guilty or no contest to any criminal offense? *

Yes

Have you ever entered into a pretrial intervention agreement to any criminal offense? *

Yes

If yes to any of the above, please provide details (including dates, state, and court involved)

Availability *

Ex. every day, Tuesday mornings, etc.

Languages *

Are you a full-time resident of the state of Florida? *

Yes

I have the following physical or mental limitations:

Previous work and/or volunteer experience:

Other organizations that you are/were a member of (indicate any offices held):

Why are you interested in joining Halifax Health - Auxiliary?

Are you interested in a particular service area?

Do you have a particular experience or a skill set that may be an asset to Halifax Health?

Emergency Medical Information

Primary Care Physician *

Physician's Phone *

Emergency Contact 1 *

Relationship to Emergency Contact 1 *

Cell Phone of Emergency Contact 1 *

Work Phone of Emergency Contact 1 *

Emergency Contact 2 *

Relationship to Emergency Contact 2 *

Cell Phone of Emergency Contact 2 *

Work Phone of Emergency Contact 2 *

Sign me up for future communitcations

Stay connected with
the community.

Keep up with the latest news, events, and announcements from our team at Halifax Health and our community.

All Articles

August 21st, 2024

•

3 min read

Halifax Health Expands Hyperbaric Oxygen Therapy Suite,…
August 15th, 2024

•

3 min read

Halifax Health Expands Cancer Care with New Cancer Center…
August 15th, 2024

•

4 min read

Halifax Health - Cancer Center for Hope and UF Health…

Our Philosophy

Halifax Health will ensure that those we serve are treated with courtesy and respect in a safe, compassionate, and professional environment.

Halifax Health will provide exemplary medical, emotional, and spiritual care for each of our patients and their families.

Our Mission

To be the community healthcare leader through exceptional talent and superior patient-centered service delivered in a financially sustainable manner.

Our Vision

To develop talented teams dedicated to providing competent, accountable patient-centered healthcare in a financially sustainable manner.

Our Values

At Halifax Health, we cultivate a positive workplace where each team member is valued, respected, and has an opportunity for personal and professional growth.

Ready to schedule an appointment online?

Schedule Appointment