College Student Application Form - Sinai Hospital

Contact Information

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Application Date:

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.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Checklist reminders

Demographic Information

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.

Date of birth:

Gender:

Education:

Marital status:

Are you employed by LifeBridge Health?:

School:

High school:

College:

Emergency Contact (required)

1

2

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Employer

Employer name:

First name:

Last name:

Street 1:

Street 2:

City:

State:

Zip:

Work phone:

Availability

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

Skills and Experience

Skills:

Clerical - Data Entry

Clerical - Filing

Greeting

Volunteer Experience

Please list any volunteer experience you have had in the past, including names of organizations where you have volunteered.

Reason For Volunteering

Please tell us why you want to volunteer at Sinai Hospital. Include information about any experience you wish to gain or why you want to donate your time to the hospital.

Volunteer Information Center

Communicating with our volunteers is extremely important. The "Volunteer Information Center" is an online portal where volunteers can check their schedules, track their hours, update information and receive messages from the Volunteer Office. To be able to access this information tool, please create a password you would like to use to access the online Volunteer Information Center.

Please enter a password that:

Is between 8 and 30 characters long
Contains both letters and numbers.
Contains a combination of both uppercase and lower case letters.

Password:

Confirm password:

Allow other volunteers to see when I am scheduled