Please complete this application if you are interested in becoming a St. Elizabeth Healthcare volunteer. After completion, click the submit button at the end.

Contact Information

Personal Information

Emergency Contact

Why volunteer at St. Elizabeth?

Experience and Interests


Please indicate the day(s) and time(s) you are available to volunteer

Criminal History

Publicity Release

I give St. Elizabeth Healthcare the permission to use my photograph, voice or image, with or without my name, both singly and in conjunction with other persons or objects for publicity or recruitment purposes.

Volunteer Application Submission

Please be aware that all the information in this application is considered confidential. By submitting this application you are acknowledging that as a St. Elizabeth volunteer you are bound by the policies, procedures and laws that govern the healthcare system.

You are certifying that all the information provided in this application and all other required forms and documents is correct and complete. Falsification or significant omission of any information may be considered justification for immediate dismissal when discovered.