We are working hard to determine when we will be bringing Volunteers back as we continue to navigate the COVID-19 Pandemic. We invite you to fill out the application for volunteering and we will be in touch with you as soon as we can for available opportunities.


Please complete this application form if you are interested in becoming a Mercy Hospital Springfield volunteer. Once you complete the form, click the Continue button at the bottom.


Name and address

For those that are under 18 years of age, please note that a reference form to be completed by a teacher, school counselor, clergy member, or employer and a parental consent form will need to be completed. These forms will be emailed to you once the interview date is set.



Emergency Contact


Demographic Information

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.



Availability

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



Interests

We have a variety of positions available, all of which come together to provide our patients and their families with the MERCY experience we strive to achieve, by utilizing our Core Values. Thank you in advance for your service to MERCY and giving back to our Community.


To help us find the best placement for you to use your personal Talents, Gifts and Abilities please select your preferences below.



Schedule an Interview

Please review the following interview dates and select to be scheduled online.



Signature Section

If I am selected as a volunteer, I will abide by the mission statement of the health system, be conscientious in fulfilling my responsibilities, conduct myself in a professional manner, keep confidential all information, attend in-services as required, adhere to the uniform requirements, and accept instruction and supervision as needed.


The above information is true and complete to the best of my knowledge. I understand that any misrepresentation and/or omission are grounds for immediate discharge.