Please complete this application form if you are interested in becoming a Magee Rehabilitation Hospital Jefferson Health volunteer. Once you complete the form, click the Continue button at the bottom.


Name and address

Please complete your personal information. You may optionally provide demographic information that is not required. Demographic information is used only to help us get a better understanding of our volunteers.



Availability

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



References

Please share the contact information for three personal or professional references.



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.



Emergency Contact

Please let us know who to contact in case of an emergency.



Why do you want to volunteer at Magee?


Tell us about your prior volunteer experience:


What are your hobbies and interests?


I am passionate about:


I want to learn how to:


I thought you should also know:


Volunteer Onboarding Agreement

Magee Rehabilitation Hospital performs background and OIG checks on all volunteers once a position is determined for the volunteer. This background check reviews criminal and other records, and may disqualify a potential volunteer candidate based on the results of the check. All volunteers must submit a Child Abuse Clearance when they apply. All volunteers also must meet Magee's annual health requirements, including a flu vaccination (October - May). Are you willing to sign an information release form to process a background check, provide your child clearance, and maintain an annual flu vaccination?