Please complete this application form if you are interested in becoming a Junior Volunteer at Novant Health Rowan Medical. Please note that this application is for Rowan Medical Center only.

The Junior Volunteer Program is for students who will be 14 years old by June 1 of the year in which you apply. College students should apply as adults.

Summer applications should be received by April 15.

Once you complete the form, click the submit button at the bottom.

Name, address and phone


We communicate important information by email. Be sure your email address is typed correctly and that you check it often.

Date of Birth

In order to volunteer during the summer, you must be 14 or older by June 1.

School Information

Please tell us what school you are currently attending and what grade you are in.

Parents or Legal Guardians

Parental Consent

I permit my child to participate in the Junior Volunteer program of Novant Health and to attend activities at Novant Health sites. I understand the responsibilites of being a volunteer and the commitment required and I will help my child to comply with the rules and regulations. I certify that my child is 14 years of age or older, by the date specified above. I further consent for pictures of my child to be used for Novant Health purposes such as bulletin boards, as well as on hospital social media sites to share the volunteer experiences.

Other Volunteering

Have you volunteered anywhere else?

Hobbies and Interests

What are your hobbies or special interests?

Suggested by?

Did someone suggest that you apply here? (Guidance counselor, friend, another volunteer, partent, etc.) If yes, who was is and what is their relationship to you?


Please write an essay with a minimum of 100 words telling why you want to volunteer, why you think you would be a good volunteer and how volunteering will benefit you.

Suggestion: type your essay on your computer so that you can easily read and edit it. When you are satisfied with the content, copy the text to this box. It will expand to fit your text.

Adult Recommendations

We require recommendations from one adult who is not related to your (scout leader, church leader, neighbor, etc.) and one teacher. Please provide first and last names and a contact email address for each person. Please make sure you have each adult's permission before providing this information to us. We will email the reference form to them,

Applicant Verification

I verify that I have read and understood all information on the application and that all information here is true and accurate. I understand that acceptance into the program is not guaranteed. If accepted, I promise to follow the rules and will do the very best I can for the hospital.

**Please double check that your application is complete and make sure you have answered every questions. When you click on "Continue," your application will be submitted.**