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

Application Information

Emergency Contact


Please Review and Check the 'I agree' Box:

In my role as a volunteer, my services are being donated to Timpanogos Regional Hospital without contemplation of any monetary compensation of future employment. I am giving my time and service because of humanitarian or charitable reasons.

I am willing to make a commitment to complete a minimum of 6 months/100 hours of volunteer service to Timpanogos Regional Hospital. I will follow volunteer policies including regular attendance, punctuality, dress code and notifying staff in my area in a timely manner when I'm unable to volunteer for my assigned shift.

I will hold as absolutely confidential all information which I may obtain directly or indirectly concerning patients, doctors or personnel at Timpanogos Regional Hospital, and will not seek confidential information in regards to a patient. I will follow all hospital policies including those referring to patient privacy, patient rights, ethics, confidentiality and social media guidelines.

I understand that I am expected to wear the official volunteer uniform and hospital ID badge whenever I'm on duty as a volunteer. My hospital ID badge and volunteer uniform must be returned to the Volunteer Services Director at the completion of my volunteer services.