Please complete this application form to volunteer at Presbyterian St. Luke's Medical Center if you are 18 years of age or older. Once you complete the form, click the Continue button at the bottom.

Name and address

Please provide your contact information.


Emergency Contact

Let us know who to call in case of an emergency.


Demographic Information

Please provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.


Why would you like to volunteer with us?

Please explain what your interest in volunteering is and what you hope to get out of your time at the hospital.


Assignment Preference

This section focus on your skills, interests, assignment preference and weekly schedule availability. Adults 18 yrs or older may serve in any assignment.


Availability

Please indicate the days and times you are available to volunteer. In the event, we are unable to place you in your first, second or third choice (as indicated above), this will help us to find other alternatives.


VicNet Password

Please indicate your password preference for VicNet, our online database which you may access from home to see job descriptions, your schedule and track your hours. Once your status is updated from applicant to active, we will send you a link to access VicNet.


Agreement Section

I understand and agree that submitting this application form does not automatically register me as a Presbyterian/St. Luke's Medical Center volunteer, and that there may be certain qualifications I must meet, including passing a background check, showing proof of immunizations, and the acceptance of established volunteer policies and procedures before I may begin volunteering.
By submitting this form, I attest that the information I have provided on the form is true and accurate.