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Volunteer Application

Thank you for your interest in volunteering at

Mercy Medical Center in Cedar Rapids, IA!

Please complete and submit the application below. Immunization records and flu shots are required.

As an added benefit, an initial health screening and annual flu shot will be provided to you by Mercy.

We will contact you within five business days.

* Denotes required fields

Personal Information


Education Completed


* Is there a Mercy service or department of particular interest to you?
* Have you ever volunteered at Mercy?
* Has anyone referred you to Volunteer Services?
* Required