Thank you for your interest in OSF HealthCare's Volunteer Program! Due to COVID-19, OSF HealthCare is limiting the availability of volunteer assignments. If you have any questions before (or after) submitting your application, you may email the Manager of Volunteer Services directly at SJMC.Volunteerservices@osfhealthcare.org . Thank you!


Name and address


Email Preferences

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.



Work Experience

Please list your most recent employer (even if you are retired), along with duration and a description of duties performed.



Education

Please list your most recent school, along with year last attended and field of study.



Emergency Contacts

Who should we contact in the case of an emergency?



Assignment Preferences

Most of the assignments will be Mon-Fri during daytime hours. Limited evening and weekend assignments. Please indicate if there is a certain area of the medical center that you are interested in volunteering.



Personal References

Please list 2 personal references (not relatives). Supplying this information gives permission to OSF HealthCare Saint Joseph Medical Center to contact those individuals listed as references to obtain information deemed relevant.



Additional Info

Please enter the first letter of your mother's maiden name.



Agreement

I understand and agree that submitting this application does not automatically register me as an OSF HealthCare Saint Joseph Medical Center 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.


I will volunteer a minimum of 100 hours if accepted into the volunteer program. I understand and agree that I will be assigned to a specific area, volunteering weekly on assigned day and time for the duration of the program. I understand and agree that if I fail to meet the minimum commitment of 100 hours, I will be accessed a $25 processing fee, will receive no recommendation letters, and will be ineligible to volunteer at OSF for 3 years.


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