Adult Application Form - Sinai Hospital
Please complete this application form if you are interested in becoming a Sinai Hospital volunteer. Once you complete the form, click the Continue button at the bottom.
Contact Information
First name:
*
Last name:
*
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
Street 1:
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Street 2:
*
Street 3:
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
GU
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
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
Home phone:
*
OK to call me here
Work phone:
OK to call me here
Cell phone:
OK to call me here
Email address:
*
Application Date:
Month
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Year
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*
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.
What kinds of email would you like to receive?
Electronic newsletters
Recruitment appeals
Checklist reminders
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.
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
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Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
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1996
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1994
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1991
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1989
1988
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1984
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1982
1981
1980
1979
1978
1977
1976
1975
1974
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1972
1971
1970
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1964
1963
1962
1961
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1958
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1956
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1954
1953
1952
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
*
Gender:
Choose
Female
Male
Education:
Choose
Associate degree
Doctoral degree
High school
Masters degree
Some college
Some High School
Trade/Vocational school
Undergraduate degree
Marital status:
Choose
Married
Single
Widow/widower
Are you employed by LifeBridge Health?:
Choose
No
Yes
School:
High school:
College:
Emergency Contact (required)
1
2
First name:
*
First name:
*
Last name:
*
Last name:
*
Home phone:
*
Home phone:
*
Work phone:
*
Work phone:
*
Cell phone:
*
Cell phone:
*
Employer
Employer name:
First name:
Last name:
Street 1:
Street 2:
City:
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
GU
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
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
Work phone:
Availability
Please indicate the days and times you are usually available to volunteer.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Morning:
Afternoon:
Evening:
My availability is:
Choose
Ongoing
Ongoing, except between these dates
Only between these dates
*
From:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
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9
10
11
12
13
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15
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17
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20
21
22
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27
28
29
30
31
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*
to:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
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15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
*
Skills and Experience
Skills:
Clerical - Data Entry
Clerical - Filing
Greeting
Volunteer Experience
Please list any volunteer experience you have had in the past, including names of organizations where you have volunteered.
Reason For Volunteering
Please tell us why you want to volunteer at Sinai Hospital. Include information about any experience you wish to gain or why you want to donate your time to the hospital.
Volunteer Information Center
Communicating with our volunteers is extremely important . The "Volunteer Information Center" is an online portal where volunteers can check their schedules, track their hours, update information and receive messages from the Volunteer Office. To be able to access this information tool, please create a password you would like to use to access the online Volunteer Information Center.
Please enter a password that:
Is between 8 and 30 characters long
Contains both letters and numbers.
Contains a combination of both uppercase and lower case letters.
Password:
*
Confirm password:
*
Allow other volunteers to see when I am scheduled
Continue