Thank you for your interest in volunteering with CaroMont Health. This application should be completed if you are interested in a role at the hospital, participating doctors office, outpatient area, or Courtland Terrace. Applicants will receive a call within 3-5 business days.

If you are interested in another type of opportunity (hospice volunteering, shadowing, etc.), please return to the Volunteer Program page of the web site.

An invitation to volunteer at CaroMont Health will be dependent on:

the availability of a suitable role
an acceptable criminal background check
a clean drug screen
receipt of favorable references
proof of vaccination (Influenza, COVID-19, MMR. Shingles, etc,)
your participation in a TB skin test
your completion of volunteer orientation

If you have questions about these requirements, please contact Pam Gordon, Volunteer Coordinator, at 704-834-2256 or Pam.Gordon@caromonthealth.org for a conversation before completing this application.

Name and Contact Information

What pronouns do you prefer to use?

Education/Skills

Highest Level of Education Completed:

Other/Licenses

Employment/Volunteer Experience

Please share the name of two past or present employers (if applicable) and describe any current or previous volunteer experience.

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2

Employer name:

Volunteer Experience

Emergency Contact Information

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2

First name:

Last name:

City:

State:

Home phone:

OK to call here

Home phone:

OK to call here

Work phone:

OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Cell phone:

OK to call here

Relationship:

References

References provided by the applicant will be provided with an online reference form to complete and return to the Volunteer Coordinator. Please offer contact information for individuals not related to you.

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2

First name:

Last name:

Email address:

Relationship:

3

First name:

Last name:

Email address:

Relationship:

Volunteer Information Question 1

Have you ever been convicted or pleaded guilty to a crime resulting in a misdemeanor or felony? YES or NO. If YES, you and the Volunteer Coordinator will have a confidential discussion about this.

Volunteer Information Question 2

Have you ever been a volunteer or employee of CaroMont Health, Gaston Memorial Hospital, or any subsidiaries? If YES, describe your relationship.

Volunteer Interest

Briefly tell us why you are interested in volunteering with CaroMont Health.

Availability and Scheduling

Tell us more about your availability.

Area(s) of Interest

We have a variety of volunteer roles within CaroMont Health. The roles will be explained in detail during your interview. They include assisting inpatient areas, family waiting areas, administrative tasks, information desks, wheelchair transporting, gift shop, skilled nursing activities department, and visiting patients through the Mended Hearts Program. Please list 2-3 areas you are interested in learning more about.

Volunteer Portal Access

Once approved, volunteers will be granted access to our volunteer portal (Volgistics) and will need a username (the email you applied with) and a password you create and provide here. Please submit a easy to remember password. You may change it later.

Please enter a password that:

Is between 8 and 30 characters long
Contains both letters and numbers.
Contains a combination of both uppercase and lower case letters.

Password:

Confirm password:

Volunteer Acknowledgement Section

Please review the following Volunteer Agreement and click "Agree" if you agree. Pause your application and call Volunteer Services 704-834-2256 if you have questions before you can proceed.

I am volunteering freely and without pressure or coercion, direct or implied, from anyone, including, but not limited to, my employer. I am volunteering and performing services for civic, charitable or humanitarian reasons.
I acknowledge my request to perform unpaid volunteer work is a voluntary decision on my part. I understand there is not and will not be any employment relationship or expectation of an employment relationship associated with my performance of volunteer services.
I am volunteering and performing services without promise, expectation or receipt of compensation (wages, benefits, worker's compensation, disability, or other Agency, state or federal benefits) for services rendered. If I am reimbursed for expenses I incur while doing volunteer work, this will not create and expectation of compensation for services I perform.
In understand that my volunteer duties may be subject to change depending on my circumstances and the needs of the program or department I serve.
I understand that while notice is greatly appreciated, I am free to stop performing volunteer work for CaroMont Health at any time and I am under no obligation to perform volunteer services for any length of time.
I authorize CaroMont Health to make any inquiry or investigation deemed necessary to consider my volunteer application. This will include contacting references and and a criminal records check. I understand that conviction of a crime will not automatically bar my volunteering. I may still be eligible for volunteering if CaroMont Health determines my conviction could have no bearing to the volunteer position for which I am applying.
I have completed this application to the best of my ability and acknowledge that any falsehoods made on this application will be grounds for immediate dismissal from my volunteer role or hereby eliminating me from consideration for volunteer work for CaroMont Health.

By clicking agree, I understand and agree that I have carefully read and fully understand the contents and legal effect of all provisions of this agreement; knowingly and voluntarily agree to all terms in this agreement; and knowingly and voluntarily intend to be legally bound by the same.

If I am under 18 years of age or are over 18 years of age and have a legal guardian, I am agreeing to this section to indicate I understand the terms of volunteering and understand that my parent or legal guardian will be presented with this information and must review and agree before I am invited to volunteer.

I Agree