Welcome to Volunteer Services

(1) Arnot Health Volunteer Application

By continuing this application, I acknowledge that:

* I am at least 14 years old.

* I am able to commit to volunteering for at least three months or 100 hours.

* I am willing to complete medical requirements such as Tuberculosis skin tests, immunizations (or immunization records), health clearances. A COVID vaccination is recommended, but no longer required.

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We offer volunteer roles in the following areas: Courier, Gift Shop, Thrift Shop, Front Desk*, Same Day Surgery*, Skilled Nursing, Emergency Department, Poison Prevention Presenter, Skilled Nursing, Pre-Admission Center*, Chart Room*, Inpatient Units, and Special Projects.

* - mostly a desk role.

Personal Information

* First Name

Middle Name

* Last Name

Preferred Name

Gender

Preferred pronouns (e.g. he, she, xe, ze, they)

Current Address

* Address

* City

* State

* ZIP Code

Contact Information

* E-mail Address (if none, please type 'none')

Phone (Mobile)

Phone (Home)

Phone (Business)

May we text you?

Emergency Contact

* Emergency Contact Name

* Relationship

* Emergency Contact Phone

References (two non-family members)

Reference Name

Reference e-mail (preferred) or phone

Reference Relationship

Second Reference Name

Second Reference e-mail (preferred) or phone

Second Reference Relationship

Have you ever been convicted of a felony?

If yes, please explain

Education/Employment

Are you a current student?

If yes, what level of school are you attending?

If yes, what is the name of the school?

If yes, what is your last year of school completed?

Are you receiving college/high school credit for volunteering?

Are you required to volunteer (high school/college/job requirement)?

Current employer, if applicable

Current Job Title/Role, if applicable

Have you ever been employed at Arnot Health?

If yes, what years were you employed?

Have you ever volunteered at Arnot Health?

Is there any employment and/or volunteer experience you would like to share with us?

Volunteer Interest

* Please explain your interest in volunteering at Arnot Health:

Interests/Hobbies

Availability

Agreement and Electronic Signature

* I agree that:

I am at least 14 years of age.
I can make a commitment to volunteering.
I will complete the necessary paperwork and medical requirements

When complete, my application will be reviewed and I will be contacted by e-mail or phone if there is a possible match of a volunteer opening with my interests and availability.

* Electronic Signature (type your full legal name in the box below)

Thank you for your interest in volunteering at Arnot Health!

Please click "save" below to complete your application.