Vanderbilt Vigil Volunteer (V3) Service Program Volunteers
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:
Choose
I am a student looking for experience
I am exploring career options
I am looking for job experience
I want to help patients and families
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
First name:
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Last name:
*
Nickname:
Mailing Address:
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City:
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State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
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Zip:
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Home phone:
Work phone:
Cell phone:
Email address:
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Date of birth:
Month
Jan
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Day
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Year
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Gender:
Choose
Female
Male
Non-Binary
TransMan
TransWoman
How did you hear about our program:
Choose
Craigslist
Current Pet Partner Team
Friend
Hands On Nashville
Hospital Tours
Media
Music City Pet Partners
Neighborhood Social Media
Other
PetSmart
Previously Volunteered
Therapy ARC
Vanderbilt Employee
Vanderbilt Student
Vanderbilt Volunteer
Vanderbilt Website
Social security #:
*
Language:
American Sign Language
Arabic
Bulgarian
Chinese
Farsi
French
German
Hindi
Korean
Philipino
Portuguese
Russian
Spanish
If you speak a language that is not listed, please include here:
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.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Morning:
Afternoon:
Evening:
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:
Choose
Brother
Co-Worker
Daughter
Father
Friend
Grandfather
Grandmother
Guardian
Mother
Partner
Relative
Sister
Son
Spouse
Supervisor/Boss
Teacher
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
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