Apply

If you are interested in volunteering, please download and fill out the application send it to the clinic. You can also call or email if you’d like more information.

Send applications to:
Susan Minnich
VIM Berkshires
777 Main Street Suite 4
Great Barrington, MA 01230
Phone: 413 528-4014
Fax: 413 528-3996
Email: sminnich@vimberkshires.org

Use the application below OR print out and mail the application form (Volunteer_application.docx [33.39 kb]).

General information

Your Name (required)

Email (required)

Address 1

City, State, and zip

Phone

Education

School

Field of study

Professional license (field)

Experience

Employer's name


Part-timeFull-time

Student: Part-timeFull-time

School name

Foreign language


SpeakReadInterpret

Past volunteer experiences

Reference (one name, contact phone number, and relationship)

Emergency contact

Name

Phone

Relationship

I'm interested in helping with...

Clinical:

Dental (dentists, dental assistants, dental hygienists)Medical (doctors, nurses, nurse practitioners, physician assistants, etc.)Mental Health (psychiatrists, psychologists, therapists)OptometryOther

Lay:

Fundraising/eventsInterpretationComputer supportLegalOutreachPatient advocateReceptionTransportationOther

Availability

I can volunteer:

Weekly2x Month1x MonthAs Needed

Preferred time:

morningafternooneveningflexible

How did you hear about VIM Berkshires?