Please complete this application form if you and your certified therapy dog are interested in participating in our Karing Partners volunteer program at OSF St. Joseph Medical Center. Once you complete the form, click the Continue button at the bottom.


Name and address

We need this information to be sure we have the correct human-dog pairs.



Dog Information


Dog Medical Information


Shift Preferences


How did you hear about our program?


Additional Info


Agreement

I understand and agree that submitting this application does not automatically register me as an OSF HealthCare Saint Joseph Medical Center volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.


I will volunteer a minimum of 100 hours if accepted into the volunteer program. I understand and agree that I will be assigned to a specific area, volunteering weekly on assigned day and time for the duration of the program. I understand and agree that if I fail to meet the minimum commitment of 100 hours, I will be accessed a $25 processing fee, will receive no recommendation letters, and will be ineligible to volunteer at OSF for 3 years.


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