**Please note that due to the COVID-19 virus we have suspended volunteer application processing. Processing will resume when we return to normal activities. Thank you for your understanding.


Thank you for your interest in becoming a volunteer with Froedtert & the Medical College of Wisconsin West Bend Hospital. If you wish to submit an application, complete all fields and click the submit button at the end of the form. Incomplete forms will not be considered.


Froedtert West Bend Hospital is seeking volunteers able to commit to a minimum one year membership and a minimum of 15 hours of service annually (both items are required). Please note, we are unable to provide short-term (less than 12 months) or summer only volunteer opportunities. All information provided will be kept confidential and used for volunteer purposes only. Please note that applicants will be removed from the application process after 4 weeks of inactivity. A new application will be required to resume the process.


Application Type


General Information


Emergency Contact

Please enter information for reliable emergency contact should we need to call.



Applicants 14-17 yrs: Parent/Guardian Information

Please provide contact information for parent/legal guardian who has granted permission for you to volunteer. Parent/guardian must submit permission form within 4 weeks of submitting application. The link to the permission form is provided on our website. We are unable to provide short-term or summer only volunteer opportunities.



Education

Please provide the requested information if you are currently enrolled in school.



Employment

Please provide current employer name, position, duties and years of employment.



Why Froedtert West Bend Hospital?

In a few sentences, please tell us why you want to become a Froedtert West Bend Hospital volunteer.



Availability & Volunteer Experience


Preferences

Select three service areas of interest using the drop down boxes. Service area descriptions are available on our website. Please note all adult service areas require the ability to volunteer independently and many require volunteers to be on their feet for extended periods of time.



Skills & Hobbies


References (Do not include immediate family)

Please provide information for two references who we may contact.



Verification

I (applicant) have reviewed this completed application and verify the information provided is true to the best of my knowledge. An incomplete or false answer to any question on the form may be grounds for not being able to volunteer or of my dismissal after I have begun my volunteer service.


If accepted into the volunteer program, I understand the assignment(s) I accept is strictly voluntary and I will not receive any monetary compensation from Froedtert West Bend Hospital, or any of the associated physicians, employees and /or patients for carrying out the duties of my assignment(s).


I understand that all adult Partner volunteer roles require the ability to provide service independently and without monitoring or supervision. I am able to meet this requirement.


I understand that I am required to complete a minimum of 15 hours of service as well as educational and flu vaccination requirements annually (unless proper exemption provided) in order to volunteer. I understand membership is a one year commitment.


If under the age of 18, I verify that I have received permission to volunteer from the parent/legal guardian included on this application.


I authorize Froedtert West Bend Hospital to request such information as necessary to verify my qualifications and gives permission to conduct a background information disclosure check.