Volunteering

Application for Volunteer Membership

If you would like to be a part of this worthwhile program, you can apply using the form below. If you would like more information, please call the Volunteer Services Office of Brookhaven Memorial Hospital Medical Center at 631-654-7737.

If you are currently a student please use the Application for Junior Volunteer Membership.

* Required Information

Personal Information

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Please check all areas of service you are interested in:

Please specify the times you are available each of the following days:
Morning Afternoon Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Education
You must be at least 14 years of age to apply.

In Case of Emergency, notify:

Physician:
Hospital News View All

August 19, 2016
I'm In, Are You?

Our Diamond Anniversary Gala

August 08, 2016
Veteran's Peer Support Group

Joseph P. Dwyer Peer Support Project has collaborated with us to provide weekly Veteran Peer Support Groups

July 19, 2016
Tournament of Tournaments a Tremendous Success!

Funds raised will support the new Knapp Cardiac Care Center

July 08, 2016
Donaldsons VW/ Subaru of Sayville Donates Warmth

Donaldsons donates 60 blankets for the comfort of our cancer patients