Please complete this application form if you are interested in becoming a volunteer at one of the Tennova Healthcare facilities. Once you complete the form, click the submit button at the bottom.

Contact Information

This information will be used to contact you so please provide a working phone number and e-mail address, if applicable. We ask for your social security number for security purposes in obtaining your background check. All information will remain protected and will be kept confidential.


Demographics

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


Education

Please provide information regarding your educational background.


Work history

Please provide information regarding your two most recent employers.


Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more that assignment. Use this list to rank your top three assignment choices.


Emergency Contact

In the event of an emergency whom should we notify?


References

Please provide three non-family references who may tell us about your skills, abilities and capabilities for volunteering.


EMail

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.


Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.


Volunteer Application Agreement:

I understand and agree that submitting this application form does not automatically register me as a Tennova Healthcare volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering. I understand that a background check will be obtained regarding my personal information. Acceptance into the volunteer program will be contingent upon an acceptable report.
By submitting this form, I attest that the information I have provided on the form is true and accurate.