Volunteers and Auxiliary

Volunteer Registration

Thank you for your interest in volunteering at Taylorville Memorial Hospital. Volunteers are a crucial part of creating great patient experiences for our patients.

Please fill out the online form below; required fields are bolded. Then click 'Submit Volunteer Application' at the end of the form. Someone will be in contact with you after we review your application.

You may also print the Volunteer Services Application form to complete and mail to:

Taylorville Memorial Hospital
Attn: Volunteer Coordinator
201 E. Pleasant
Taylorville, IL 62568


Personal Information

First Name
Middle Name
Last Name
Address
City
State
Zip
Phone Number
Additional Phone Number
Email Address
Date of Birth
Hobbies or Special Interests
Volunteer Experience
Reason(s) for Volunteering