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

Home

Cell


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

November 30, 2016
Donaldson and Brookhaven Hospital - Share the Love Event

Share the Love Event at Donaldson's Subaru

November 18, 2016
Two of Brookhaven's Own Celebrated

Two of Brookhaven's Own Celebrated at the Long Island Business News Healthcare Heroes Award Dinner.

October 31, 2016
Ribbon Cutting of the $60,000,000 Knapp Cardiac Care Center!

October 27th marked the completion of the construction of the new 60,000 square foot, $60 million Knapp Cardiac Care Center

October 18, 2016
Brookhaven Memorial Hospital's Employee Appreciation Day!

October 2016