MyImpactPage - Application Form

Volunteer Qualifications and Policies

All volunteers who work directly with patients and families must be at least 21 years old.
Volunteers who work directly with patients and families must have their own car (this does not include borrowing a car, renting a car, getting a ride from someone, or using Uber or Lyft). Exceptions can be made if a volunteer is unable to drive due to a disability.
Volunteers cannot be seeking hours for court-ordered community service.

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 the qualifications at the top of the page. 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 the qualifications at the top of the page. Required

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

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