Please complete this application form if you are interested in Volunteering!

Name and Contact Information

Emergency Contact Information

Demographic Information

Other Information


I agree to the following statement:
I am currently a Ballad Health team member in good standing having met all employment requirements.
I understand that I cannot volunteer in the department where I work.
I will be given a volunteer name badge to visibly wear at all times that I am serving as a volunteer.
I am voluntarily offering my service.
I will notify the Volunteer department immediately if my volunteer status changes.

Checking the "I Agree" box and submitting this form is your electronic signature and your acceptance of the Agreement above.