Please complete this application form if you are interested in becoming a South Seminole Hospital volunteer. Once completed click the Continue button, which is located at the end of the form. This will submit your application. If you have provided an e-mail address, an automated confirmation will be sent to you.

Basic Information

Please provide current information. Make sure to include your E-mail address and a home phone and/or cell phone number.

Education, Employment and/or Volunteer Experience

Please include the above information, in addition to specific medical training and/or experience.

Interests and Abilities

Emergency Information


Please provide three adult, non-relative references.
FOR ADULTS - one of the three references must be business or professional.
FOR HIGH SCHOOL STUDENTS - one of the three references must be a teacher or counselor.


Please provide the name of your parent or guardian, who consents to, and supports, your decision to volunteer.

Agreement Section

I understand and agree that, as a condition of being selected as a volunteer at Orlando Health South Seminole Hospital, Orlando Health will conduct a criminal background check. My signature below constitutes my authorization for Orlando Health or its agents to check my background. I waive and release Orlando Health and its agents from any and all claims I may otherwise have with respect to any such criminal background check.