We are excited you want to come and give of your time to support the healing ministry at CHI St. Joseph Health Skilled Nursing & Rehab.

Senior Enrichment at Skilled Nursing allows individuals and groups to participate in activities and fellowship with the residents of our facility. We ask that you be in good health, make a commitment to assist on a weekly or monthly basis, pass a background screening, complete our online orientation, and complete TB testing along with flu vaccination which is required October through March.

Please provide all contact information and a complete address. If you are applying as part of a group, make sure you provide us with the name of your group.

The following information is required to process your application. Date of birth is required for your background screening. This information will be held in the strickest confidence.

In the event of an emergency whom should we notify?

Email is our primary communication method. Your email also allows you access to our system to sign up for volunteer opportunities. Please supply an email address that you check regularly.

We provide an online "Volunteer Information Center" where volunteers may sign up for volunteer opportunities, check their schedules, find out how many hours they have, update their information, and receive messages. **Note** an email address is required to have access to this feature. Please select a password you would like to use to access the online Volunteer Information Center. Your password must be a minimum of 4 characters and/or numbers.

We consider the safety and security of patients and residents to be of the utmost importance. Applicants must complete a background history to be screened for criminal background histories by state and/or federal agencies. Persons who have been convicted of any felony offense or misdemeanor offenses involving drugs, adult/child abuse, assault or any violent behavior are not eligible to volunteer at CHI St. Joseph Health. There are no exceptions. By checking, I agree, at the end of this application, you consent to the background check and attest that you have not been convicted of a felony or misdemeanor as stated above. If you have ever committed, been convicted of, pled guilty to, or pled nolo contendo to, a felony or misdemeanor, please explain.

I understand and agree that submitting this application form does not automatically register me as a CHI St. Joseph Health Manor volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies, completion of orientation requirements 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 and I have not been convicted of a felony or misdemeanor involving drugs, abuse and/or an act of violence.