Please complete this application form if you are interested in becoming a UnityPoint Health - St. Luke's Sioux City Junior Volunteer. You must be at least 13 years old or in the 7th grade to be eligible. Once you complete the form, click the submit button at the bottom.

Contact Information

Provide complete contact information. You must provide an email address other than your school email.


Please provide the required information in this section. All other information is optional. It is used only to help us get a better idea of the demographic make-up of our volunteers.


Please include two references such as a teacher, pastor, counselor, or employer.

Reason for Volunteering

Emergency Contacts