MyImpactPage - Application Form - Erie Shores HealthCare

Terms and Conditions

I understand that my application does not guarantee me a position at Erie Shores HealthCare (ESHC).

I understand that if selected to become a volunteer, I will be required to complete the onboarding process including, but not limited to, providing a Criminal Record Check, undergoing a Health Review and attending an orientation session.

I hereby certify that all information included in this application form is true and complete.

I am new to MyImpactPage.com

You will need to enter a unique username to identify yourself to the system. You should select something that is easy for you to remember such as your email address or your name. Your username must be at least 6 characters long. If the name you enter is already in use by someone else, you will be prompted to choose another username.

Username

Required

	Username must not start with space
	Username must not end with space
	Username must not have two or more spaces in a row

Email Address

Required

Verify Email Address

Required

I have read and agree to the application policies Required

I already have a username

If you have signed up with this organization before, or are a member of another organization that uses MyImpactPage.com, you can use the same login to access all organizations with which you are associated.

Username	Required
Password	Required
Forgot your username or password?
I have read and agree to the application policies Required

Already use MyImpactPage.com to volunteer with this organization? Go to volunteer login

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