Thank you for your interest in volunteering at Genesis Health System. Please know our volunteen program is very competitive , with limited placement, and not all applicants are selected. If you are UNDER 18, please complete this application and click submit.


Contact Information

Any field with an * is required.


Volunteer Opportunities

Select the volunteer assignment(s) and location that most interests you. Please know we cannot guarantee placement in any particular location.


Availability

Please fill in the time(s) you would like to volunteer.


All About You

We want to learn about you! Please fill out the information below.


Work or Volunteer Experience

Please provide list of previous work or volunteer experience.


Emergency Contact

All volunteers must have an emergency contact listed.


I Agree

I hereby authorize Genesis Health System to validate any provided information, which may concern my work, school, or volunteer records.
I understand and agree that submitting this application does not guarantee volunteer placement in any particular location at Genesis. I understand that if I am selected as a volunteer, the placement, terms, and conditions of my volunteer service will be determined by Genesis. I agree to adhere to Genesis volunteer policies and procedures.
By submitting, I attest that the information I have provided on the form is true and accurate. I understand and agree that falsification of this or any other information is grounds for denial of this application or immediate termination from the volunteer program.