Medical Center Volunteer Information Request Form May 19, 2016 Yes, I want to learn more about volunteering at San Mateo Medical Center! First name: * Last name: * Cell phone number: Home phone number: Work phone number : Email address: * I am an adult: Yes No I am a student (at least 15 years old): Yes No I am available (check all that apply): Monday – Friday (8:00 a.m. - 12:00 p.m.) Monday – Friday (12:00 p.m. - 4:30 p.m.) Special events I’m not sure yet My employer offers matching funds for volunteer hours: Yes No