Junior Volunteer Application

Please complete all sections below. All fields highlighed in green are required to successfully submit your application. Thank you for your interest in volunteering with us!

PLEASE SEND 1 EMAIL WITH YOUR 2 LETTERS OF RECOMMENDATION TO:

Nicole.Ball@providence.org

Letters of Recommendation must come from a trusted adult who is not your friend nor family member.

Acceptable letters of recommendation could be from a teacher, a coach, a mentor, someone from your faith community, a boss, someone who you have volunteered with, etc.

Personal Information

* First Name

Middle Initial

* Last Name

* Date of Birth

* E-mail

* Phone (Home)

* Phone (Mobile)

* Home Address

Apt #

* City

State

* Zip Code

Education

Are you currently enrolled as a student?

Name of High School attended/attending

Essential functions: Can you perform the essential functions of tasks with or without reasonable accomodations?

Employment Information

Are you currently or recently employed?

Volunteering at Providence St. Joseph Hospital

How did you learn/hear about our program?

* Why do you want to volunteer and what experiences are you expecting from this program?

Do you have any skills/talents or interests you would be willing to share with us?

Were you referred by a Providence St. Joseph Hospital staff or Volunteer?

In order for your application to be considered, please indicate specific hours of availability.

The majority of the shifts are four hours each.

Please do not submit availabilities that may change within the next six months.

REMINDER!

As a Junior Volunteer we ask that you commit to 100 hours with one-four hour shift each week.

Volunteer placement depends upon the needs of Providence St. Joseph Hospital.

Previous Volunteer Experience

Have you ever submitted a volunteer application or volunteered at other organizations?

*If yes, please share when, where, and what your role was

Availability

Please select your day(s) of availability.

Please select your time availability.

*If you selected 'other availability' please add times here.

Emergency Contact Information

* Contact Name

* Relationship

* Phone (Home)

PLEASE ELECTRONICALLY SIGN YOUR NAME BELOW BY TYPING IN YOUR NAME.

By signing, you are acknowledging you have submitted the correct information above.

FAILURE TO COMPLETE THIS STEP WILL RESULT IN AN INCOMPLETE APPLICATION.

* Electronic Signature

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