Form – Volunteer Interest

Thank you for your interest in volunteering for the ��ý! Please complete and submit the form below. Be certain to include a valid email address, as nearly all volunteer program communication is electronic.

Personal information

Your name*

City/State*

Affiliation with the ��ý*

select all that apply

Alumnus/a
Parent/Faculty of UR Student
Spouse/Parent/Family of UR Alumnus/a
��ý Faculty/Staff
Friend of the ��ý and/or its Medical Center

If alumnus/a, please indicate UR graduation year(s)/degree(s)

Preferred phone*

(###) ###-####

Preferred email*

Volunteer opportunities

Please check all volunteer areas that interest you*

select all that apply

Other, please specify*

Please check all activities you'd be interested in doing as a volunteer*

select all that apply

Admissions support
Events
Mentoring
Communications/outreach
Community engagement
Fundraising
Other

Other, please specify*

Please indicate where you are interested in volunteering*

select all that apply

In Rochester
In your region
Virtually

Additional information

Please use this space for questions, comments, or additional information you'd like us to know.

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Volunteer interest form

Personal information

Volunteer opportunities

Additional information

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