Please complete this application form if you are interested in becoming a volunteer at Mayo Clinic in Rochester. Once you complete the form, click the submit button at the bottom.


Contact Information


Demographic Information


Referral

Who referred you to Mayo Clinic Volunteer Programs and/or how did you hear about us?



Employment History

If you are currently seeking employment, please have your employment secured and a set schedule in place prior to submitting your volunteer application.



Availability

Please indicate the days and times you are available to volunteer. Actual times may vary according to the assignment. Please note that evening and weekend shifts are available.



Volunteer Experience

Please list any previous volunteer experience.



Emergency Contact


How did you hear about the Mayo volunteer program?


Conditions

*Mayo Clinic requires a commitment of a regular volunteer schedule.

*A background check will be obtained as part of the screening process.

* I will be screened for TB by with a skin test.

* I will comply with all policies and guidelines.

* I will be photographed for the purpose of obtaining a volunteer badge.

* My services are donated to Mayo Clinic without promise, expectation, or receipt of compensation or future employment.

* Volunteering should not be viewed as a means of obtaining permanent employment at Mayo Clinic.

*I understand that as a volunteer I may be interviewed, photographed, videotaped or filmed for the purposes of

publication, broadcast, sale, or any other use deemed appropriate by mayo Clinic Staff or volunteers representing

the Mayo Clinic Volunteer Programs. I further understand that such information/photography/videotape or film shall be

exclusive property of Mayo Clinic, free and clear of any claim on my part.



Conditions

By submitting your application, you are affirming that you are currently age 18 or older and all information you have provided in this application is true and complete and that any misrepresentation, falsification, or willful omission herein should be sufficient reason for dismissal and/or refusal of volunteer participation.


I agree to comply with all policies and guidelines of Mayo Clinic Volunteer Programs.