Mission Hospitals Volunteer Registration Form - Mission Health

Mission Hospitals Volunteer Registration Form 

Day of Caring: September 1st, 2011 

Please complete and return to Kathy Hefner by Wednesday, July 22 nd via interoffice mail. 

You can fax this form to 213-7252 or 213-7296 but please send the original form by interoffice mail also. 

**SPACE IS LIMITED. FIRST COME FIRST SERVED 

Questions Contact Kathy Hefner at 213-7556/ kathy.hefner@msj.org 

or Cathy Naber at 213-7295/ cathy.naber@msj.org 

Volunteer Information and Supervisor Approval 

Name:________________________________ Title:__________________________________________________ 

Department (please don’t abbreviate): _____________________ Dept. Director/Manager:____________________ 

Best phone to reach you:________________________ Email: _________________________________________ 

Supervisor Name: _____________________________ Supervisor’s Phone:_______________________________ 

Supervisor’s Email: ____________________________ Supervisor’s Signature: ____________________________ 

In order to participate in Day of Caring, your supervisor’s signature is required. Forms that are turned in without a supervisor’s signature 

will not be processed. 

Day of Caring Project Preference 

Please rank the following projects in order of preference. You will be matched with a project on a first come, first serve 

basis. Rank only those projects you are willing and able to do. See Project Choices document for more information. 

*If you wish to volunteer for both shifts of an am/pm project, please make a note. 

___ ABCCM Main Crisis Cleanup 

___ ABCCM Medical Ministry (AM shift) 

___ ABCCM Medical Ministry (PM shift) 

___ ABCCM Steadfast House for Women (AM shift) 

___ ABCCM Steadfast House for Women (PM shift) 

___ American Red Cross (Disaster Supply Room) 

___ Animal Compassion Network: Pet Harmony (AM shift) 

___ Animal Compassion Network: Pet Harmony (PM shift) 

___ Asheville Humane Society (AM shift) 

___ Asheville Humane Society (PM shift) 

___ Aston Park Health Care Center (ALL Day) 

___ Big Brothers Big Sisters of WNC 

___ Goodwill Industries Pet Visit 

___ Smith-McDowell House Museum 

___ The Rathbun Center 

___ The Salvation Army 

___ WCRM Super Thrift Store (AM shift) 

___ WCRM Super Thrift Store (PM shift) 

___I’m willing to fill in where I’m needed most 

___I’m interested in being a project leader 

Day of Caring T-shirt: Check one 

Small 

Medium 

Large 

XL 

2XL 

3XL 

United Way Campaign Kick-Off 

Please note, United Way’s annual campaign will be 

launched this year as an email-based “Virtual Kick-off” 

and will not be an in-person rally. 

Volunteer Waiver: 

I understand that United Way of Asheville Buncombe 

County shall not be liable for any injuries or illnesses that I 

suffer in connection with my participation in Day of Caring. I 

acknowledge that United Way of Asheville and Buncombe 

County does not inspect the condition of the site at which I 

will volunteer. I expressly waive any claims to recover 

damages for the liabilities, if any, from United Way or the 

agency where the project occurs. In addition, I agree that 

any photos taken of my participation in the Day of Caring 

may be used in United Way or Hands On Network printed 

materials, advertising, and media promotions. 

Signature:________________________Date:______

2011 Mission Hospitals Day of Caring Project Choices 

ABCCM Main Crisis Ministry: Pantry Clean-Up 

Project Description: Volunteers will help clean and organize the shelves in the pantry at the Crisis Ministry. Volunteers should wear: 

work clothes, closed toe shoes. 

Number of Volunteers Needed:5-7 

Wheelchair accessible No 

Project Times: 9:00 am - 12:00 pm 

ABCCM Medical Ministry: Free Clinic Fall Fixup 

Project Description: Volunteers will have the opportunity to assist with both indoor or outdoor projects. Outdoor projects include 

weeding, spreading mulch, planting plants, and pressure washing the clinic exterior and windows. Volunteer may be asked to use a 

ladder to clean windows. Indoor project tasks include general cleaning, dusting, mopping, paint touch-up, and reorganization of 

supply closets. Volunteers should wear: work clothes, closed toe shoes. If possible, volunteers should bring: gardening gloves, 

shovels or rakes. 


Wheelchair accessible Yes 

Project Times: AM Shift (9:00 am - 12:00 pm), PM Shift (1:00 – 4:00 pm), or ALL Day (9:00 am- 4:00 pm) 

ABCCM Steadfast House for Women: Fall Cleanup 

Project Description: Volunteers will help with a variety of outdoor projects. Yard work tasks include: mowing, weed eating, raking 

and bagging leaves, weeding, trimming hedges, and picking up debris around the house. Exterior projects include: washing the 

facility's outside windows, sweeping, cleaning gutters (requires using a ladder), washing/disinfecting outside furniture and toys, and 

hosing off the driveways. Some volunteers may be asked to use ladders, mowers, weed trimmers or leaf blowers. Volunteers should 

wear: work clothes, closed toe shoes. If possible, volunteers should bring: rakes, gardening tools, gloves, goggles, hedge clippers, 

weed eaters, leaf blowers, any yardwork tools to share. 




American Red Cross: Disaster Supply Room Clean-up 

Project Description: With the recent disaster response in the Southeast and Midwest, the Disaster Supply Room and storage trailers 

are in need of cleaning and reorganizing. Volunteers should wear: work clothes. If possible, volunteers should bring: work gloves. 




Animal Compassion Network: Pet Harmony Spruce-Up 

Project Description: Volunteers will stock shelves, clean and organize the office, help with the pet food assistance program, and 

provide animal care. Volunteers are encouraged to socialize with dogs and cats! Volunteers should wear: work clothes. 




Asheville Humane Society: General Maintenance, Gardening and Animal Loving 

Project Description: Outdoor projects include mowing, weed trimming, planting, pruning, and helping to erect a small weed plank 

fence to hide the garbage dumpster. Indoor projects include organizing and cleaning the storage areas. Volunteers are encouraged 

to socialize with the dogs and cats, as well. Some volunteers may be asked to use mowers and weed trimmers. Volunteers should 

wear: work clothes, long pants, closed toe shoes and no jewelry. If possible, volunteers should bring: any gardening tools to use and 

share. 




Aston Park Health Care Center: Activity Storage Organization 

Project Description: Volunteers will be sorting through activity supplies and seasonal decorations. Items will then be placed in 

containers, labeled, and organized by season. Volunteers should wear: work clothes, closed toe shoes. Volunteers must be able to 

lift at least 15 pounds, and walk up and down stairs. 



Project Times: 9:00 am - 4:00 pm (volunteers are asked to stay for the entire shift) 

Big Brothers Big Sisters: Mentoring Magic!

Project Description: Volunteers will engage in simple activities with youth at the Stephens-Lee Recreation Center. Staff will lead 

activities that give both youth and volunteers opportunities to learn about each other and have fun! Volunteers should wear casual 

clothing appropriate for playing with kids. 



Project Times: 2:30-5:00 pm 

Goodwill Industries of NWNC: Pet Visit - Therapy Dogs 

Project Description: Volunteers and their pets will visit with mentally and/or physically developmentally disabled clients in the 

Community Access Day Program. Clients look forward to seeing the dogs perform skills with their owners! Volunteers should wear: 

closed toe shoes. Animals will need to remain on a leash. Volunteers should provide plastic baggies to clean up after the pets. 

Number of Volunteers Needed:5 



Smith-McDowell House Museum: Museum and Grounds Cleaning 

Project Description: Indoor volunteers will assist with dusting, sweeping, mopping, and vacuuming in the main house. Outside 

volunteers will rake lawns, trim shrubs and weed flower beds etc. Some volunteers may be asked to use stepladders. Volunteers 

should wear: work clothes, closed toe shoes, caps and sun screen for sun protection. If possible, volunteers should bring: hand 

garden trimmers and weeding tools. 



Project Times: 10:00 am-2:00 pm 

The Rathbun Center: Create a New Garden 

Project Description: Volunteers will create a new flower garden near the entrance to the house. Volunteers will begin by clearing 

limbs and debris from an embankment. Volunteers will then prepare the garden by spreading topsoil, planting flowers & small shrubs, 

and laying mulch. Volunteers should be aware that the terrain for the garden plot is uneven. Volunteers should wear: work clothes, 

closed toe shoes. If possible, volunteers should bring: rakes, garden clippers. 




The Salvation Army: Fence Painting Project 

Project Description: Volunteers will paint fencing that surrounds the back parking lot. Volunteers should wear: work clothes, closed 

toe shoes. 




Western Carolina Rescue Ministries Super Thrift Store: Season of Change 

Project Description: Volunteers will sort, hang and price donated merchandise for the upcoming Fall and Winter season at the Thrift 

Store. Volunteers should wear: closed toe shoes. 




Volunteers will receive additional project details once assignments are made. 

Questions Contact Kathy Hefner at 213-7556/ kathy.hefner@msj.org 

or Cathy Naber at 213-7295/ cathy.naber@msj.org 

2011 Day of Caring Projects

Mission Hospitals Volunteer Registration Form - Mission Health

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