Please complete this application if you are 14 to 17 years of age and interested in becoming a Teen volunteer at Banner Wyoming Medical Center. Once you have completed the form, click the Continue button at the bottom.


Teen Requirements and Commitments:

*Please Note - Banner Health requires COVID-19 vaccines for all employees and volunteers. Ensure you are fully vaccinated before applying.

We are currently recruiting teen volunteers who can commit to 6 months or longer as a Banner Wyoming Medical Center Volunteer with the availability to volunteer 1 regular shift of 3-4 hours per week. If you are unable to meet any of these requirements at this time, please complete this application at a later date.



Teen Applicant's Information:

Provide the following information. An email is required for future communication(s).



Demographic Information:

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.



Parental Consent and Emergency Contact:

Teens ages 14-17 must have a parent or guardians consent to volunteer. Please enter your Parent or Guardians information. You will also need their approval to move forward in the application and onboarding process. 

NOTE: If you are ages 14 or 15 you will be required to have a legal guardian assigned with you for volunteering.



Email Preferences:

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



Availability:

TEEN VOLUNTEERS WILL NOT BE PLACED IN DIRECT PATEINT CARE ASSIGNMENTS.

If you are interviewed and offered a volunteer position, your availability to serve as a volunteer is very important. Indicate the days and times you are available to volunteer.

Shifts and times are based on the placement.

Most shifts are typically: Monday-Sunday

8:00am-12:00pm, 12:00pm-4:00pm, 4:00pm-8:00pm



Physical and Medical Background Information:

Do you have any physical limitations or medical condition that may limit your ability to perform the duties? If "Yes", please explain below.



Felony Question:

Have you, under this name or any other name, ever been convicted of a felony? (Excluding any minor traffic violations)



Addendum for Minor Volunteers:

This document must accompany the volunteer application for all applicants under the age of 18.
By signing this application you are giving your permission for your child to become a Banner Health Teen Volunteer and authorize, understand or give permission for the following:
• We give permission to have Occupational Health
Screening performed. Screening will include a
Tuberculin blood test, proof of vaccinations and a flu
shot (if during flu season). In place of a vaccination
record, a blood test will be administered to determine
immunity to measles, mumps, rubella, and varicella.

• We give permission to administer emergency medical
treatment if necessary.
• We assume responsibility for transportation of our
child to and from the facility.
• We understand that Banner Health will not be held
responsible for any accident or injury resulting from
an unauthorized departure from the facility grounds by
our child.
• We understand that Banner Health reserves the right
to dismiss my child from the Volunteer Program due to a
failure to comply with policies/procedures of the
Banner Health Code of Conduct and Core Behaviors.