Please complete this application if you are interested in becoming a Lincoln Memorial Hospital volunteer. Once you complete the form, click the submit button at the bottom. Volunteers must be at least 16 years of age.
You may optionally provide demographic information. Demographic information is used only to help us have a better understanding of the make-up of our volunteer team.
Please list the person to be contacted in the event of an accident or illness.
Please indicate the days and times you are usually available to volunteer.
If you are part of the Retired and Senior Volunteer Program through Senior Corp, please complete this section. We will automatically send your hours and mileage for volunteering at Lincoln Memorial Hospital to RSVP. RSVP is a separate program from LMH. To learn more, please contact RSVP at 217-528-4035.
I hereby affirm that the information on this application is true and complete. I understand that any false or misleading representations or omissions made on the application or during the orientation process may disqualify me from further consideration for a volunteer position and may result in discharge even if discovered at a later date.
I understand that Lincoln Memorial Hospital is not obligated to provide placement, nor are you obligated to accept a position, if one is offered. As a volunteer, I understand that my services are rendered on a gratuitous basis.
If completing this application as a hard copy, please sign the application as well.