Please complete this application form if you are interested in becoming a Providence Seaside Hospital Volunteer. Once you complete the form, click the submit button at the bottom.


Contact Information


Demographics

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.



Skills & Experience

Please list in the open box any skills or certification that would be beneficial in a volunteer position. Skills do not determine service areas, they simply give our department better background on our volunteers.



Availability

Please indicate the days and times you are usually available to volunteer.



Emergency Contact

In the event of an emergency whom should we notify?



Employer

Please list your current or most recent employer, if applicable.



EMail

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



Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.



I Agree

I understand and agree that submitting this application form does not automatically register me as a Providence Seaside Hospital Volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures, a background check and tb screen before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.