You are here

Warning message

This form is improperly configured. Contact the administrator.

Volunteer application

General information
(Include area code, no dashes)

It is required that you submit your vaccination documents within five business days for your application to be processed

Please mail your records to the address below, fax it to 785-587-5416 or email to  

Mercy Regional Health Center
Volunteer Services
1823 College Avenue
Manhattan, KS 66502

A criminal background check will be performed on all adult applicants.
Employment and education
Below, please provide applicable information regarding employment and/or student status.