If you are interested in becoming a Bon Secours Maryview Medical Center Student Volunteer please complete this application. Please read and follow all the directions and meet the deadlines. There are forms linked on the information page of the website you will need to download, complete and submit prior to your interview. You must read the Student Volunteer Handbook, also linked on the information page. Once you complete this application, click the "continue" button at the bottom and your application will be submitted. The interview information will be sent to you via email. Please double check your email on the application is valid.

Contact Information

Emergency Contact

Demographic Information

My commitment

I agree to follow all the rules and policies set forth by Bon Secours Maryview Medical Center as a Student Volunteer. I understand that my student volunteer status may be terminated at any point should I violate any of the rules, regulations or policies.
I agree I have read the Student Volunteer Handbook. This is required.
I agree to meet the required hours of work in the service area in which I am placed.
I agree to wear my required ID badge and required uniform at all times while on duty as a volunteer.
I agree to provide my time and service without remuneration.
I agree to maintain strict confidentiality of information pertaining to the patients, doctors, and staff members. Breach of confidentiality is cause for dismissal and possibly criminal prosecution.
I will uphold the mission and values of Bon Secours Maryview Medical Center while on duty as a volunteer.
I will be prompt and reliable in reporting for volunteer work.
I will perform my volunteer duties to the best of my ability.
I agree to be at my assigned area as directed by my schedule.
I recognize I am representing the Volunteer Department and Bon Secours Maryview when I take on the responsibility of being a Student Volunteer and any behavior deemed unbecoming or inappropriate by the department director may be cause for dismissal. I verify the information I have provided is true and accurate to the best of my knowledge.
I understand that applying to be a student volunteer does not guarantee acceptance into the program.