Please complete this application form if you are interested in becoming a MUSC Health-Lancaster Medical Center volunteer. Applicant must be 18 years or older and able to work a four(4) shift each week.Once you complete the form, click the Continue button at the bottom.


Name and address


Emergency Contact

Who may we notify in the event of an emergency?



Personal Goals

What do you visualize yourself doing during your volunteer time at MUSC-Lancaster?



Additional Information

How did you hear about the volunteer program with MUSC-Lancaster



Availability

Please indicate which days and time your available to volunteer.



References

Two references, that we may contact on your behalf that you have know for one year or more (excluding relatives)



Emails

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



Disclaimers

-I certify that the information I have given on this application is true and complete.

-I understand that any falsification or omission of information given at any time may be grounds  for deferral or dismissal from the volunteer program.

-All persons or organizations named on this application may provide information about me to the volunteer department of MUSC Health-Lancaster Medical Center and I hereby release the persons or organizations from any liability from doing so.

Although MUSC-Lancaster provides opportunities for volunteers without regards to religion ,race , age or gender. MUSC-Lancaster is not obligated to provide a volunteer placement to every application.

-If accepted I will comply with all standards and  policies of MUSC-Health, and I will limit my actives to those for which I have been authorized and trained.  

-I understand that a background check will be performed prior to duties.

-I am over the age of 18

-I understand that this volunteer application is not a contract for employment.

By checking "I Agree" you acknowledge this disclosure and you agree to be bound by its terms and conditions.