AAH Volunteer Application Form

Thank you for your interest in becoming an Advocate Aurora Volunteer. Because of the dedication and generosity of volunteers like you, we're helping people be safe and live well during this unprecedented time.

Currently we have only a few volunteer roles available but all provide opportunities to positively impact our patients and visitors experience at our hospitals and clinics. Here are the roles for which we are accepting new volunteers:

1) Front Entrance Ambassador -- greets patients/visitors, assists with wayfinding and wheelchair escorts. Available at all sites.

2) Assistant Screener -- assists the screeners by taking temperatures of those coming onsite using a no-touch thermometer. Helps provide direction and assists with delivering screening supplies to the screening stations.

Please note: Assistant Screeners needed ONLY at the following sites:

Aurora St. Luke's Medical Center

Aurora St. Luke's South Shore

Aurora West Allis Medical Center

Aurora Medical Center Washington County

Aurora Lakeland Medical Center

Aurora Medical Center Burlington

In order to become an Advocate Aurora Health volunteer, you must:

--Be at least 18 years old (we have temporarily suspended on-boarding anyone under 18)

--Complete a criminal background check

--Submit proof of two Measles-Mumps-Rubella (MMR) vaccines

--Take a TB test

--Obtain a flu vaccination during flu season annually

--Complete a volunteer orientation (online if possible)

--Complete this online application form

Ready to get started?

1. Fill out the form below.

2. Click the SUBMIT button at the bottom of the page.

3. Look for a confirmation email from us with information on next steps.

Please note that all information submitted on this Volunteer Application Form will be kept confidential and will only be used by Advocate Aurora Volunteer Services.

Personal Information

Give us the basics.

First name:

Last name:

Title:

Nickname:

Street:

City:

State:

* Zip: *

Home phone:

Work phone:

Cell phone:

Email address:

Date of birth:

Gender:

Limitations:

Ethnicity:

Emergency Contact

Please list the emergency contact we should call on your behalf.

1

2

First name:

Last name:

Primary phone:

Work phone:

Cell phone:

Relationship:

References

List two people not related to you who can attest to your character.

1

2

First name:

Last name:

Primary phone:

Relationship:

Why Volunteer?

In a few sentences, tell us why you want to become an Advocate Aurora volunteer.

Languages

If you are fluent in any foreign languages please list them here.

Availability

Please indicate the days and times you'd be able volunteer.

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

My availability is:

From:

to:

I would like to serve up to:

hours:

Commitment & Obligation

1. What length of commitment are you willing to make (Long-term, Seasonal, Semester)?

2. Will this volunteer position fullfill an obligation for COMMUNITY SERVICE or a SCHOOL/CHURCH assignment? If so, How many hours are required for this assignment?

Volunteer Preferences: Location & Opportunities

Location: At which Aurora Health Care hospital or clinic would you like to volunteer? If you don't know the name, just tell us your city or zip code. This is just your preferred location so you may change your desired location at any time during your application process.

Opportunities: Let us know which of the limited volunteer opportunities interest you.

All of the information above is, to the best of my knowledge and belief, true, correct and complete. I understand a false answer to any question on this application is grounds for termination of the application process, or dismissal from Aurora's Volunteer Program.

I Agree