Volunteer Application Form

AT THIS TIME, DUE TO THE COVID-19 VIRUS ALERTS, WE WILL NOT BE ACCEPTING ANY VOLUNTEER APPLICATIONS. WE ARE HAVING TO LIMIT THE NUMBER OF PEOPLE COMING INTO OUR FACILITY. PLEASE FEEL FREE TO SUBMIT AN APPLICATION AT A LATER DATE AFTER THIS BAN IS LIFTED. Thank you for understanding!

Aleesa Walker - Manager ~ Volunteer Services

Mission Trail Baptist Hospital

Please complete this application form if you are interested in becoming a Mission Trail Baptist Hospital volunteer. Currently, we have immediate openings for front desk/guest services volunteers and Companion Care volunteers.

Once you complete the form, click the submit button at the bottom.

***Our Junior Summer Volunteer Program will be held in July of 2020. Students must be 16 years of age by June 1st in order to apply. Also students must complete 24 hours of volunteer service in that 5-week period in order to receive a certificate of completion. Student applications must be on my desk no later than April 15, 2020.

Contact Information

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

Email address:

Demographics

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.

Date of birth:

(year optional)

Age:

Gender:

Education:

Skills, Experience & Motivation for Volunteering

Please tell us about your motivation to become a volunteer, and why you wish to serve in the Volunteer Department at Mission Trail Baptist Hospital. Also list any previous volunteer experience and/or skills that would translate inot your volunteer position here at Mission Trail.

Availability

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

Assignment Preference

The following volunteer assignments may currently be available. You may click the assignment names to learn more that assignment. Use this list to rank your top three assignment choices.

Emergency Contact

In the event of an emergency whom should we notify?

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

Work phone:

Relationship:

Employer

Please list your current or most recent employer, if applicable.

Employer name:

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

Work phone:

EMail

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.

Please enter a password that:

Is between 6 and 30 characters long

Password:

Confirm password:

I Agree

I understand and agree that submitting this application form does not automatically register me as a Mission Trail Baptist Hospital 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.

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

I Agree