Please complete this application form if you are interested in becoming a Le Bonheur Children's Hospital volunteer. We keep applicant files for 6 months so please check your email and follow the appropriate steps within 6 months of your application or your application will be deleted. Once you complete the form, click the submit button at the bottom. Once your application has been received, you will receive an email regarding your next step in the process. You must be 18 years old to volunteer and agree to at least 3 hours per week for a minimum of 6 consecutive months. Please note: We are not currently training any new volunteers for the baby hugger position. We encourage you to apply for our other volunteer positions, as many roles (especially unit buddies) frequently interact with infants and toddlers. We will update the volunteer website as availability changes.


Applicant Name


Demographic Information


Education


Emergency Contact


Skills & Experience

Please list any experience you may working or caring for children.






Employment

If you are retired, unemployed, or a student, please list as such.








How did you hear about Le Bonheur?

Please tell us how you heard about volunteering at Le Bonheur (choose all that apply): Le Bonheur Website, Volunteer MidSouth, Church(please name), Corporation(please name), Le Bonheur Associate(please name), Le Bonheur Volunteer (please name, Other(please identify).



Personal Record

Have you ever been convicted of a crime or felony? If yes, please explain.



Authorization for Release of Information

I hereby authorize Le Bonheur Children’s Hospital Volunteer Services to conduct personal reference and police record inquiries to determine my acceptability for volunteer service. I authorize Le Bonheur Children’s Hospital Volunteer Services and its agents to procure and/or investigate my background, character or reputation, including but not limited to information as to my social security number verification, criminal record, and/or other public record history. I authorize all persons to fully disclose information relevant to this investigation. I release from liability all persons, companies, and government or other agencies disclosing such information.



Agreement:

I understand and agree that submitting this application form does not automatically register me as a Le Bonheur Children's Hospital volunteer, and that there may be certain qualifications I must meet, including acceptance of volunteer policies and procedures before I may begin volunteering. This includes the authorization to conduct background and recommendation checks prior to orientation, a general hospital orientation, a committment of working at least one 3 hour shift per week for at least 6 months, interview, health clearance and unit specific training. By submitting this form, I attest that I am 18 years of age or older and the information I have provided on the form is true and accurate.

Please check “Continue" if you wish to submit this application