Please complete this application form if you are interested in becoming an ADULT volunteer (18 or older) at The Christ Hospital. Once you complete the form, click the submit button at the bottom.


Contact Information


Personal Information


Education


Emergency Contact


Availability

Please indicate the days and times you are usually available to volunteer. Our typical shifts are 8:00-12:00, 12:00-4:00 and 4:00-8:00.



Assignment Preference

The following volunteer assignments may currently be available. You may click on "Opportunities" from the The Christ Hospital Volunteer page to learn more these assignments. Use this list to rank your top assignment choices.



Areas of Interest

What are you interested in doing, or willing to do (with training) as a volunteer? Check all that apply.



Skills and Experience

Please tell us more about the skills and experience you have:



Volunteer Experience


Criminal History

Have you ever been convicted of, or pled guilty to a criminal offense (misdemeanor or felony)? We do criminal checks. Falsification of this or any other information on the application is grounds for immediate termination. A conviction does not necessarily disqualify you from volunteering.



Publicity Release

I give The Christ Hospital the permission to use my photograph, voice, or image with or without my name, both singly and in conjunction with other persons or objects for publicity or recruitment purpose.



Anything Else?

Please provide us with any additional information you feel will help us know more about you.



I Agree

I understand all information in this application is considered confidential.


I understand and agree that submitting this application form does not automatically register me as a The Christ Hospital 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. I understand and agree that falsification of this or any other information is grounds for immediate termination.


I understand that a criminal history background check is conducted on all The Christ Hospital volunteer applicants 18 years of age or older. I authorize The Christ Hospital to perform this check.