If you are planning on a one-time engagement with Mercy, you've come to the right place. This includes job shadows, observation hours of 8 hours or less, speakers, event helpers or casual musicians/performers. Once you complete this form, click the Continue button at the bottom.


Your Desired One-Time Engagement

Please select the option(s) that best describe your desired one-time engagement. If you are interested in volunteering more regularly (for more than one time or for more than eight hours), please go back to www.mercycare.org/volunteer to complete the appropriate application.



Contact Information

Please complete the following information about you. If you do not have an email address, please use volunteer@mercycare.org.



Emergency Contacts

We are committed to your safety. This is why we require two Emergency Contacts in the event we are unable to reach your first. Please complete the following information.



How did you hear about our program?


Availability

*For Job Shadows & Observation Hours ONLY: Please indicate the days and times you are usually available to volunteer.



Criminal History

Have you ever been convicted of, or plead guilty to a criminal offense (misdemeanor or felony)? Mercy conducts criminal checks. Falsification of this or any other information on the application is grounds for immediate termination. A conviction does not necessarily disqualify you from volunteering. Acceptance into Mercy's volunteer program will be made on a case by case basis.



Anything Else?


I Agree

I understand and agree that submitting this application form does not automatically register me as a Job Shadower or One-Time Volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.


By submitting this form, I attest that the information I have provided on the form is true and accurate. I understand and agree that falsification of this or any other information is grounds for immediate termination.