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Champaign County Christian Health Center

A ministry focused on bringing healthcare to those in need.

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Healthy Start Community Day

August 29th, 2026

Learn More

Volunteer Application

Please fill out the following form to apply to be a volunteer. Make sure to review the descriptions of the volunteer positions and the handbook before applying.

Volunteer Application

Name

Phone Number

Address

Do you accept text messages on your phone?(Email is the primary mode of contact for CCCHC. Text messages would be only for scheduling purposes or other urgent clinic business; for example, if we need someone to fill in for a late volunteer cancellation.) *

Yes

In what area(s) are you interested in volunteering? ( If MEDICAL QUALIFICATIONS are listed by the position, you MUST have those qualifications to select it as an option.) * Required

Hospitality

Spiritual Care

Interpreters

Triage (Requires RN, LPN, CNA, EMT or MOA)

Social Work (Requires LCSW status or MSW degree in progess willing to work with LCSW)

Provider (Requires MD, APN, PA)

Nurse (Requires RN background)

Lab/Phlebotomist(Requires Phlebotomist Liscence)

Dentist (Requires DMD or DDS)

Dental Assistant (One year of dental assistant experience is preferred )

Date of Birth ( Please enter DOB as MM/DD/YYYY)

Our mission is to share the love of Jesus Christ to our neighbors in Champaign County by providing holistic, free, and quality health care services.