Please complete this application form if you are interested in becoming a Rapid City Hospital Volunteer. Once you complete the form, click the Submit button at the bottom.

Name and Contact Information

Emergency Contact

Please provide name, phone number, and relationship to you.


Please enter your education and work experience.

Personal References

Please list 3 personal references. All references will be contacted. Print full mailing address. Do not list relatives or persons under age 18.


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

What type of volunteer position interests you?

Patient Unit

Guest Services



Special Skills or Interests

Why do you want to volunteer?

Commitment / Requirements

Volunteers are asked to give a minimum of 3 months/30 hours of service. Generally serving once per week for 2-4 hours. Are you able to do that?

Applicants complete an interview/orientation, background investigation, drug screen and health screen. Also, education on safety, infection control, compliance, etc.

Understanding, Sign and Date

I understand that I am applying for a volunteer position for which I will not receive pay. I understand that volunteers do not receive preference for new hires in paid positions. 

Typing name and date is equal to signature.


Type question in box below, call 605-755-8980 or email