Thank you for your interest in applying to volunteer at Vanderbilt University Hospital and the Palliative Care Unit. Once you have fully completed the application, click the "Continue" button at the bottom. All personal information on this application will be kept confidential. Due to the number of applications we receive we are unable to process, consider, or retain incomplete applications.

Our goal is to ensure this volunteer experience is beneficial for both you and the hospital. With that in mind, if you have recently experienced the death of someone close to you, we ask that you wait at least one year to apply. Also, if you are actively seeking full-time employment, please wait until after you are established in your new position to apply. All of our volunteer placements are in areas that have requested volunteer support and are not potential job openings. The object of becoming a volunteer is to support patients, families, and staff.

Please note: We ask for your thoughtful responses. Please plan to spend at least 30 minutes on this application. Unfortunately, ONCE STARTED, THIS APPLICATION AND YOUR WORK CANNOT BE SAVED FOR COMPLETION AT A LATER TIME.

Volunteer Interest

I would like to volunteer at Vanderbilt University Medical Center because:

Volunteer Interest:

Do you have a special interest in a specific volunteer placement? Please describe:

Volunteer Location

Indicate what hospital/program you are interested in volunteering. Please choose at least one.

Vanderbilt Health - One Hundred Oaks:

Vanderbilt Hospital & Clinics (Adult):

Personal Information

Volunteer Availability

The times you select below are an estimate of your weekly availability; however, please do not list days/times when you know you are not available.

Employment (if currently employed)

Employer:

Job Title:

Length of Service:

Reason For Leaving:

Please describe your position including duties and responsibilities:

Emergency Contact Information

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Relationship:

Criminal History

Have you ever pleaded guilty to or been convicted of a misdemeanor or felony?

Criminal History: No:

Criminal History: Yes:

If Yes, Please explain:

Personal Statement

Please describe why you are interested in volunteering including special skills, qualities, and previous volunteer experiences that would benefit patients and families at Vanderbilt University Medical Center. In your description, please include a few specific examples of how you have made use of your skills, qualities, etc.

Please answer completely and thoroughly.

Hospital Environment

The pace at VUMC is dynamic; hectic at times, slow at others. There are many important policies, guidelines, and regulations that you will be asked to strictly follow. Why does this type of environment appeal to you? Please describe your experience in similar environments.

Please answer completely and thoroughly.

Patient and Family Care

We are seeking dependable volunteers who are empathetic, friendly, and have proactive customer service skills. Our patients and families are often under great stress and in crisis. Are you comfortable working with diverse individuals dealing with a variety of situations? Please describe a time when you have provided excellent customer care to someone in need.

Please answer completely and thoroughly.

Grief and Loss

Have you experienced the death of someone close to you within the past 3 years? If yes, what was your relationship?

Volunteer Acknowledgement

I affirm that the information provided on this application is true and complete. I understand that this application does not guarantee a volunteer placement. I understand that as a volunteer I may not accept payment for my services.

I Agree