Please complete this application form if you are interested in becoming a volunteer at Banner Olive Branch Senior Center. Once you have completed the form, click the Continue button at the bottom.

Applicant's Information:

Thank you for your interest in becoming a volunteer at Olive Branch Senior Center. Once you complete the form, click the continue button at the bottom. The Volunteer Resource staff will be in touch with you. Provide the following information. An email is required for future communication(s)

Employment Experience

Volunteer Experience

Making a Difference

Assignment Preference

Service Availability:

Please share the days and times of the week you are currently available to volunteer.

Emergency Contact:

In the event of an emergency please provide two individuals we may contact.

Addendum for Minor Volunteers:

This document must accompany the volunteer application for all applicants under the age of 18.
By signing this application you are giving your permission for your child to become a Banner Health Teen Volunteer and authorize, understand or give permission for the following:
• We give permission to have Occupational Health
Screening performed. Screening will include a
Tuberculin blood test,proof of vaccinations and a flu
shot (if during flu season). In place of a vaccination
record, a blood test will be administered to determine
immunity to measles, mumps, rubella, and varicella.

• We give permission to administer emergency medical
treatment if necessary.
• We assume responsibility for transportation of our
child to and from the facility.
• We understand that Banner Health will not be held
responsible for any accident or injury resulting from
an unauthorized departure from the facility grounds by
our child.
• We understand that Banner Health reserves the right
to dismiss my child from the Volunteer Program due to a
failure to comply with policies/procedures of the
Banner Health Code of Conduct and Core Behaviors.

Certification of Information

I certify the statements made in this volunteer application are true and correct, and have been provided voluntarily.
  • I understand that my time and services are donated to
Banner Health without contemplation of future employment and also understand that I will not be paid for my services as a volunteer.
  • I understand that prior to the onset of service, I will be required to:
    • Complete Criminal Background Screening
    • Complete Occupational Health Screening
    • Attend a New Volunteer Orientation session
    • Complete any additional training required by my assignment.
  • I understand the misrepresentation and/or withholding of information may result in the rejection of this application or cause my dismissal if discovered after volunteer service begins.