Please complete this application form to volunteer at Presbyterian St. Luke's Medical Center if you are 16 years of age and up to a senior in High School. 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

Help us know more about you including if you have a preference for a specific assignment. Please note that high school volunteers are required to serve 6 months in a teen friendly role (Kids Connection, Ronald McDonald House, Lobby Desk/Red Coat Greeter, Surgery Waiting, Med/Tele or Emergency Dept.) before we will consider advancing you on more difficult assignments.


Please indicate the days and times you are available to volunteer. In the event, we are unable to place you in your first, 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.

High School Contract

Thank you for your interest in serving as a high school volunteer at Presbyterian/St. Luke’s Medical Center. We take pride in providing high school volunteers with opportunities to observe healthcare professionals in action, and will make every effort to support you in a positive and rewarding experience at P/SL.

To ensure your understanding of the commitment involved, please read the following statements, and check the box provided.

While volunteering at Presbyterian/St. Luke’s Medical Center, I will:

• Be here because I want to be here.
• Bring the best of who I am to my volunteer service.
• Understand that everything I do and help with while I am at the hospital is significant and important.
• Meet my volunteer commitments in a professional and courteous manner.
• Dress neatly in assigned uniform.
• Maintain a positive “can do” attitude at all times.
• Demonstrate courtesy and respect towards patients, families, staff and fellow volunteers.
• Follow policies and procedures as outlined in Volunteer Orientation.
• Keep absolutely confidential any information regarding patients, families and staff as described in Volunteer Orientation.
• Avoid using any of my electronic gadgets while on volunteer duty.
• Not bring my friends to the hospital while I am volunteering.
• Discuss any problems, criticisms or suggestions for program improvement with the Volunteer Services staff.
• Understand that any inappropriate action on my part can result in dismissal from the program.

Additionally, if I cannot attend on the day for which I am assigned, I will contact my unit as soon as possible.