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

April 14, 2016
Women for Brookhaven 2016

Another Successful Event

April 11, 2016
Brookhaven Hospital Joins St. Joseph's College

Older Women's Health Care: Keeping us Heart Healthy & Strong

April 08, 2016
Brookhaven Memorial Hospital Offers New Screening Test

Low-Dose CT Lung Cancer Screening Available

April 2016
Save the Date! 2016 Tournament of Tournaments Golf Outing

Honoring Mayor Rudolph Giuliani