Thank you for your interest in volunteering at one or more of Providence's Portland-area hospitals. Providence values the dedication and many hours of service its volunteers give each year. Please be aware that, if you are selected as a volunteer, you must make a commitment to a minimum of 6 months of service.


Site Selection

Please carefully consider which site where you would MOST like to volunteer.



Personal Information

Fields marked with an * require an entry.


You must include at least one telephone contact number.



Demographic Information

You must be at least 16 years of age. The following information is used only to help us get a better idea of the demographic make-up of our volunteers. Information about your Race/Ethnicity is optional; it is not required.



Education/Training/Employment


Volunteer Scheduling Preferences

Indicate the days and the approximate time of day you would prefer to schedule your volunteer hours. Most assignments are 4 hours long and all require at least a 6 month commitment. This application is for volunteering; we do not not place interns.



Special Projects

In addition to your usual weekly commitment, are you willing to assist with special projects on an "as needed" basis?



References

Please provide us with two references.



Emergency Contact

Please provide us with your emergency contact:



Additional Information

PLEASE READ: if you are interested in being placed in our NICU, please note that volunteers are not being place in this unit at this time.



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Criminal Background

Within the last 7 years, have you ever been convicted of a criminal offense (other than a minor traffic violation) after your 18th birthday? (Conviction will not necessarily disqualify an applicant; consideration will be given to the nature and timing of the crime.) A criminal background check must be completed prior to beginning volunteer service.



Confidentiality & Commitment

I hereby agree to abide by the volunteer policies, hospital rules and regulations, and to uphold patient confidentiality as I fulfill my role as a volunteer. I understand and confirm my willingness and availability to meet the 6-month commitment required for my volunteer service. I certify that I am 18 years of age or older and that the information entered is true, correct and complete.*