Please complete this application form if you are interested in becoming an Adventist Health St. Helena Volunteer. Do not leave any field blank as this will delay the process. Once you complete the form, click the Continue button at the bottom.

Name and address

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.


Please indicate the days and times you are usually available to volunteer.

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

Service Commitment - Weekly hours

Please indicate your level of commitment to serve at St. Helena Hospital. Four hours per week or 2 hours per week. Thank you

Service Commitment - Weeks

Please indicate your level of commitment to serve 50 weeks or 26 weeks. Thank you

Background check & Patient Confidentiality

By checking this "I agree" check box, I agree to a criminal background check and I agree to hold absolutely confidential all information I may hear or observe concerning patients, physicians, employees, and any volunteer. I also agree that my service at St. Helena Hospital is strictly on a volunteer basis and I will not be paid for my volunteer service. This agreement and consent is valid for the entire duration of my volunteer service.