Please complete this application form if you are interested in becoming a Aspirus Volunteers volunteer using all caps for the name and address field. Once you complete the form, click the submit button at the bottom. Volunteer applications for Rainbow's End will be accepted from April 1st to June 20th. To promote a positive peer-to-peer experience for our Campers, Rainbow's End Volunteers are suggested to be ages 14 - 25.


Your Information


RAINBOW'S END or Hospital onsite or both

Are you applying to be a regular volunteer (hospital onsite), Rainbow's End (day camp volunteers age 14 - 25) or both? Please indicate your answer in the box below.


Emergency Contact

In the event of an emergency whom should we notify?


References - Hospice Volunteers Only

If you are applying to volunteer in Hospice, please provide 2 references. References must not be related to you.


Employment

List your 2 most recent employers.


Education

List your highest level of education. If you are currently enrolled in school, please include the school you are attending and your anticipated graducation year.


Professional License or Special Training

List your skills and experience that you feel would be relevent to volunteering at Aspirus. Ex. Massage therapy, CNA, computer skills.


Why do you want to volunteer at Aspirus?

Please explain why you have chosen to volunteer at Aspirus. What do you hope to gain by volunteering here?


Volunteer Opportunities

What volunteer opportunities are you interested in persuing?


Community involvment

Please list organizations that you are involved in. Make sure to include volunteer experience, clubs, church groups, sports etc. Please note if you have have had a leadership role in any of these organizations.


Availability

Please indicate when you are available to volunteer. We ask that volunteers commit to volunteering a minimum of once a week for six months or a minimum of 50 hours.


I Agree

I understand and agree that submitting this application form does not automatically register me as a Aspirus Volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures and health screenings before I may begin volunteering.
By submitting this form, I attest that the information I have provided on the form is true and accurate.