Please complete this application form if you are interested in becoming a Mary Washington Healthcare College Student Volunteer. Once you complete the form, click the submit button at the bottom. College students will be placed at either Mary Washington Hospital or Stafford Hospital based on the student's preference.

Please note: 


All volunteers must have the Covid-19 vaccination.

All volunteers serving between October and April must have the flu vaccine.

Proof of vaccination is required.


Permanent Address

This address should be your home address and is not your school address.



Alternate Address

This should be your school housing address if it is different than the address above.



School Information

Please name the college you attend and how many credit hours you have obtained.



Demographics (optional)


Skills & Experience

Please list any previous volunteer experience, include location and responsibilities.



Questions

Why are you interested in joining the Mary Washington Healthcare College Student Volunteer Program?




Availability

Please indicate the days and times you are usually available to volunteer.



Emergency Contact

In the event of an emergency, who should we notify?



Reference

Please send the following link to the individuals who will provide a personal reference (family members or individuals who share the applicant's household may NOT serve as a reference): https://app.smartsheet.com/b/form/4aa7444670ff4737b033c6ffca2467ef



Background

All volunteers must complete a background check prior to onboarding.  Have you ever been convicted of a felony?



I Agree

I understand and agree that submitting this application form does not automatically register me as a Mary Washington Healthcare Volunteer. If selected for Volunteer service with Mary Washington Healthcare, I understand and agree to comply with the requirements and regulations of the Hospital. I agree to accept responsibility to honor the commitment of time for which I am scheduled and to provide adequate notice when I am unable to report for duty. I understand that this is a voluntary commitment that may be terminated at any time. I understand that I am also committing to volunteer for a minimum of 60 hours over the summer or 60 hours spread over two full semesters, preferably at least 3 hours per week. By submitting this application, I have considered my obligations to school, work, and other extra-curricular activities and commit to the hourly requirements.


By submitting this form, I attest that the information I have provided on the form is true and accurate.