Please complete this application form if you are interested in becoming a St. Mary's Medical Center Auxiliary volunteen (age 14-18). Once you complete the form, click the submit button at the bottom. -Volunteen Application-

Do not use a school email address. Many school filters block our emails which is our primary method of communication.

Contact Information

Make sure to "Opt In" to Text messages and Email Notifications.
These are our exclusive methods of communication.

Many Schools and Businesses have Email Spam blockers that block our emails. Please enter your personal email (not a parent's) and not a school email.


Demographics

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.


Interests

What are you interested/willing to do as a volunteer?


Availability

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


Assignment Preference

Click any assignments that you would like to serve in....Please only select "Volunteen" assignments.

To View the assignment descriptions, click on the name of the assignment.


Emergency Contact

In the event of an emergency whom should we notify?
Must be a parent or Guardian.


Employer - If any

Please list your current or most recent employer, if applicable.


Criminal Background

A pre-requisite to employment or acceptance as a volunteer is the completion of a Criminal Background Check.

Have you ever plead guilty or "no contest" (nolo contendere) to, or been convicted of, violating any law with the exception of minor traffic violations?


I Agree

I understand and agree that submitting this application form does not automatically register me as a St. Mary's Medical Center Auxiliary 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.
By submitting this form, I attest that the information I have provided on the form is true and accurate.