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

September 27, 2016
Dancing in the Streets

Greater Patchogue Foundation's Italian Feast of Saint Liberata

September 15, 2016
Board Of Directors Approves Acquisition Of John J. Foley Property

President and CEO of BMHMC signed the contract with Suffolk County for the purchase

September 02, 2016
Honoring one of Brookhaven's Own - Rob Murphy

There are times in our lives where there is no answer to questions

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

Our Diamond Anniversary Gala