Statement of Commitment: My active and dedicated service is essential in helping attain the hospital's mission, vision, and values. Volunteering signifies a solemn and dilgent commitment to fulfill a minimum of six months and four hours of service per week in a scheduled service area. The minimum age requirement is 19 years of age.


Contact Information

Application must be completed in its entirety to be considered.



Skills, Talents and Interests


Languages


Availability to Volunteer

Please check the boxes by the specific days and times you are available weekly for a four hour volunteer shift.



Employment and Education

The following questions are asked to give us a better idea of the demographic make-up of our volunteers. Please indicate your highest level of education.



Comments


Emergency Contact


How did you hear about our volunteer program?


Reason for Volunteering?


Agreement Disclosure

I hereby certify that all information provided in this application is true and accurate and that any misrepresentations, falsifications, or omissions may result in exclusion from further consideration for the Dignity Health East Valley Volunteer Program. I understand that Mercy Gilbert has a vital interest in maintaining safe, healthy, and efficient working conditions for its volunteers, employees, customers and patients. As a result, all individuals who are accepted into the Volunteer Program will be required to successfully complete a background investigation, including a criminal records check and a post-acceptance employee health assessment. Should an investigative consumer report be requested, you will have the right to demand a complete and accurate disclosure of the nature and scope of the investigation request and a written summary of your rights under the Fair Credit Reporting Act. Finally, I hereby understand that any information involving my qualifications, performance, credentials, or other factors may be reviewed and affect my consideration for the Volunteer Program with Dignity Health East Valley. I agree not to file or pursue any complaints, claims or legal actions against either Mercy Gilbert Medical Center or any of it's employees, representatives, or agents arising out of their efforts to obtain work-related information about me.