Please complete this application form if you are interested in becoming a Grace Hospital volunteer. Once you complete the form, click the submit button at the bottom.

Contact Information

Please remember to include your area code with your phone number.

Emergency Contact

Who would you like us to contact in case of an emergency?

Current Status


Formal education is not required to be a volunteer. We welcome experience of all kinds!

Volunteer Experience

Please indicate the organizations that you currently are volunteering for or have volunteered for in the past including community clubs, schools, religious organizations, professional associations, non-profit organizations, sporting events, etc.

Employment History

Please indicate the organizations that you are currently working for or have been employed by in the past.

Assignment Preference

Please indicate the types of volunteer assignments you are interested in.

Volunteer Commitment

Please indicate how long you are prepared to commit to volunteering.

Volunteer Availability

Please indicate your availability. We require a minimum commitment of one shift at the same time each week.


If you wish to have anything further to be taken into consideration when determining a volunteer placement (for example: mobility issues, back problems, or allergies), you may list those in the space provided.


Please provide three (3)references. We will not contact your references until after you have been interviewed. Please note references from family members or from personal friends will not be accepted, unless you were employed by them. please include e-mail addresses in contact information as we find this is the easiest way to get in touch with most references.


By submitting this application, I agree that the information I have provided on the form is true and accurate. Furthermore, I understand and agree that submitting this application form does not automatically register me as a volunteer. It is the policy of Grace Hospital Volunteer Resources to screen all prospective volunteers. While we try to place every prospective volunteer, management reserves the right to decline applicants who do not meet our requirements and/or placement criteria. I consent to this information and information about my volunteer work with Grace Hospital to be maintained on the Volgistics website and absolve and release Grace Hospital from all and any liability that may otherwise accrue by reason of keeping this information on the Volgistics website and using this information for Grace Hospital purposes.

Reference Disclaimer

I hereby authorize the Grace Hospital to contact the named references to ascertain my suitability as a volunteer. I hereby release the Grace Hospital from all liability for any damage whatsoever for obtaining and using same. I further authorize the Grace Hospital to maintain this information in their records and release and absolve them from all liability that may otherwise accrue by reason of their keeping this information and using it for their purpose.