Junior Volunteer Interest Form

If you are interested in applying for the CRMC Junior Volunteer Program, please submit the interest form below. We will mail you a full application in March prior to the summer program which launches each June. 

For more information, contact CRMC Volunteer Services at (256) 737-2600.

Name: *  

Address: *  

City: *  

State: *  

Zip Code: *  

Telephone: *  

Date of Birth: *  

Age: *  

Name: *  

Relationship to student: *  

Address: *  

City: *  

State: *  

Zip Code: *  

Telephone: *  

Name of your personal physician: *  

Requirements:
Must be 16 – 18 years old
Completed the 10th grade
Mandatory orientation & TB skin testing
Required to wear uniform (Khaki pants and white shirt)