Thank you for your interest in volunteering at Genesis Health System. Please know our volunteer program is very competitive with limited placement, and not all applicants are selected. Please complete this application and click submit.


Contact Information

Any field with an * is required information.



Volunteer Opportunities

Select the volunteer assignment(s) and location that most interests you. Please know we cannot guarantee placement in any particular location.



Availability

Please fill in the time(s) you would like to volunteer.



All About You

We want to know more about you! Please fill out the information below.



Work and Volunteer Experience

Please list previous work or volunteer experience.



Additional Information

Do you have a record of founded child or dependent adult abuse or have you ever been convicted of a crime in this state or any other state?



Emergency Contact

All volunteers must have an emergency contact listed.



Compassionate Canine Pet Therapy

We will contact you for additional information regarding your pet's training, certification, vaccination records and liability insurance.



I Agree

I hereby authorize Genesis Health System to conduct a pre-volunteer screening, which may include a criminal background check, work or volunteer history, and a health screening.

I understand and agree that submitting this application does not guarantee volunteer placement in any particular location at Genesis. I understand that if I am selected as a volunteer the placement, terms, and conditions of my volunteer service will be determined by Genesis. I agree to adhere to Genesis volunteer policies and procedures.

By submitting, I attest that the information I have provided on the form is true and accurate. I understand and agree that falsification of this or any other information is grounds for denial of this application or immediate termination from the volunteer program.