Student Volunteer Application Form
Please complete this application form if you are interested in becoming a SJMC Volunteer. Once you complete the form, click the submit button at the bottom.

Contact 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.


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.


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


Please provide name, address, phone and email address for 2 people who can provide a reference for you. May not be a relative or friend. Reference can be a pastor, teacher, supervisor, or another adult who knows you well.

Assignment Preferences

The following are examples of some of the areas that benefit from our volunteer's time. Optionally check any that seem to be of interest to you.

Emergency Contact

You may optionally supply this information.

In the event of an emergency whom should we notify?

I Agree

I understand and agree that submitting this application form does not automatically register me as a St. Joseph Medical Center volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.