UMC Health System Volunteer Chaplain Application

Volunteer Chaplains are essential to the success of our Pastoral Care Department’s mission to serve the needs of our patients and their families. Volunteer Chaplains play a vital role by providing spiritual support to those in need. Our volunteer chaplains’ service of love for others continually raise the level of care we offer.

To be considered for a position as a volunteer Chaplain at UMC Health System, please complete this application. Once you complete the form, click Continue and you will receive confirmation with further instructions.

Once again, thank you for your interest in UMC. We look forward to serving alongside you.

For questions, call the Pastoral Care office at 806.775.8672 or email larry.cothrin@umchealthsystem.com or ronald.finley@umchealthsystem.com

Volunteer Chaplain Policies and Onboarding Process

• Volunteers must be 18 years of age or older

• Volunteer Chaplains will be interviewed by Pastoral Care staff.

• Volunteers must give consent for UMC to conduct a criminal history record search

• Volunteers must complete orientation, onboarding and receive clearance before beginning

• Volunteers are matched to placement based on availability, skills and experience

• Volunteers must adhere to dress code, HIPPA, hand hygiene, and UMC code of conduct

• Volunteer positions are “at-will” and may be terminated by UMC for violations of policy

Volunteer Chaplain Onboarding Process

All volunteers must complete the below steps:

• Submit application and supporting documents to Volunteer Services Department

• Complete interview screening with Pastoral Care Department

• Review and accept assignment/schedule

• Sign a consent for a criminal history record search

• Submit additional documents if requested (shot record, transcripts, etc.)

• Complete UMC Volunteer Orientation

• Complete TB Test/Screening, Influenza vaccine, and other required medical clearance

• Take photo for name badge

Volunteer Application

Emergency Contact

First name:

Last name:

Cell phone:

Relationship:

Church /Org Affiliation/ Ministry Exp/ Skills

Web site:

Employer name:

City:

State:

Work phone:

OK to call here

Email address:

Pastor/Director

Education

Please list ministry experience as well as special skills (bilingual, sign language, etc.), interests and areas of expertise.

Reference

Please list two references. One reference can come from your circle of influence (friend, family, or work) A second reference should be a leader within your church (deacon, ss teacher, pastor, etc.)

1

2

First name:

Last name:

Cell phone:

OK to call here

Cell phone:

OK to call here

Email address:

Relationship:

Disability Disclosure

Are you able to perform all essential functions of the UMC volunteer role with or without a reasonable accommodation?

Criminal History

Prior conviction of a crime? (includes agreements made by Teen Court) (If no, enter "no"; if yes, please explain)

Interest

Explain why you are interested in volunteering?

Availability

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

Sun

Mon

Tue

Wed

Thu

Fri

Sat

From:

To:

I would like to serve up to:

hours:

Mycobacterium Tuberculosis Questionnaire

* All Volunteers must complete the M.Tb Questionnaire.

Copy and paste this link into a new tab or window of your internet browser (Chrome is suggested) to complete the form online.

https://forms.office.com/r/pgcGP7cFhw

UMC Volunteering | Privacy Policy