Please complete this application form if you are interested in becoming a volunteer for UofL Health - Jewish Hospital, UofL Health - Frazier Rehab Institute, UofL Health - Medical Center East (formerly KentuckyOne Health - Medical Center Jewish East), UofL Health - Mary & Elizabeth, or UofL Health - Peace Hospital. Once you complete the form, click the Continue button at the bottom.


Contact Information

Everyone should complete this section.


Demographics and Personal Information

Everyone should complete this section.


Where do you wish to volunteer?

Everyone should complete this section.


Emergency Contact

Everyone should complete this section.


CPE Students, Interns, Musicians

Please skip directly to the Criminal History section below and complete the remainder of the application.


Casual, Candy, Crafters, Noggineers, Musicians

If you wish to volunteer from home, for the Candy House in Louisville or for one time projects, this is the last section of this application you will need to complete.

Crafters and Noggineers - Tell us which craft projects you are interested in and we will send you the patterns.


Musicians

While Musicians in the Lobby do come in to our facilities to volunteer, you are not classified as a Traditional Volunteer. If you ONLY want to play music, please complete this section, then skip directly to the Criminal History section below and complete the remainder of the application.


Traditional Volunteers

If you will be volunteering IN one of our facilities, please complete the remainder of this application. (Exceptions are CPE Students, Interns)


Assignment Preferences

As you read through our assignment descriptions, please pay careful attention to the locations where that assignment is available. Not every assignment is available at every location.


Criminal History

Have you ever been convicted of, or pled guilty to a criminal offense (misdemeanor or felony)? (We do criminal checks. Falsification of this or any other information on the application is grounds for immediate termination. A conviction does not necessarily disqualify you from volunteering.)


Anything Else?


I Agree

I understand and agree that submitting this application form does not automatically register me as a UofL Health volunteer or job shadower, 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 understand and agree that falsification of this or any other information is grounds for immediate termination.