Volunteer Application

Thank you for your interest in volunteering with Ascension Saint Thomas Hospital. Please review the requirements below, complete the form, and click the submit button at the bottom.

This is not a job shadowing program.

VOLUNTEER REQUIREMENTS:

Adult volunteers must be 18 years of age or older and completed high school.
Junior/High School volunteers must be between the ages of 15 and 18 and still in high school.
Be willing to make a minimum commitment of one 3-4-hour shift per week, on the same day of the week, for a minimum of 4 months.
Complete the mandatory Onboarding & Orientation requirements upon acceptance to the Volunteer Program.
Accept all Health Screening Immunization and Background requirement terms.

BECOMING A VOLUNTEER:

Complete the Ascension Saint Thomas Hospital Volunteer online application.
After you have completed and submitted the online application, if accepted, we will contact you to schedule an interview.

APPROVED TO BECOME A VOLUNTEER AND BEGIN THE ONBOARDING/ORIENTATION PROCESS:

Health Information & Immunization Requirements: Prior to volunteering, you will need to complete a Health Screening including immunization requirements, pass a urine drug test, and receive a flu vaccination (flu vaccination is required for all Volunteers, between October 1st to March 31st). You will be responsible for obtaining required immunizations that may be missing. All immunizations must be completed by the time you attend/complete the Volunteer Orientation. The health screening is free of charge.
Background Check: A background check will be completed and approved before you are approved to become a volunteer. The background check is free of charge.
Orientation: After successfully completing all requirements, you will be scheduled to complete a Volunteer Orientation, which includes Policies & Procedures, Code of Conduct, Dress Code, Health & Safety procedures and a Volunteer Pledge.

New User Details

User ID

User ID (verify)

Password

Password (verify)

Location

Which hospital are you applying to become a volunteer?

West Text Here

Midtown Text Here

Rutherford Text Here

Adult volunteers must be 18 years of age or older and completed high school.
Junior/High School volunteers must be between the ages of 15 and 18 and still in high school.

Person Type

Rutherford/Junior Text Here

Personal Information

Please provide the information below as accurately as possible.

* First name

* Last name

Middle name

Nickname

* Complete Address Line 1

Line 2

* City

State

* Zip code

* Email address

* Cell

Ok to call

Work

Ok to call

Criminal History

Convicted of/or pled guilty to a crime?

* Please explain

Demographic

Additional languages

* Date of birth

Gender

Education

Are you currently in school?

* Current School Attending

* Major/Degree

* When will you graduate

Status and Experience

Have you ever volunteered or worked for an Ascension Saint Thomas or Ascension Hospital?

If currently employed, list your title

* Please explain:

* Tell us in 1-2 sentences why you are interested in becoming a volunteer and how your skills and ability would benefit the mission and ministry of Ascension Saint Thomas:

Work History

Have you worked in the last seven years?

Please provide information about your employment history.

Current/Most recent employer

* Employer name

* Address line 1

Address line 2

* City

* State

* Zip

Previous employer

Employer name

Address line 1

Address line 2

City

State

Zip

Service Preference

* In regards to volunteer service, are you seeking patient contact, working with the general public, or are you skilled in clerical tasks?

Are there working conditions or settings that you must or would like to avoid? If so, please explain.

Service Availibility

Volunteers are asked to make a minimum commitment of one 3-4 hour shift per week on the same day each week for a minimum of 4 months unless otherwise discussed by Volunteer Services.

Please select the days/times you are available; morning shifts 8am-noon, afternoon shifts noon-4pm, evening shifts 4pm-8pm (shifts may be flexible upon request).

* My availability is

* Start Date

End Date

Extracurricular Activities

Please list any community or school affiliations, previous volunteer experience, and any work experience you may have.

Emergency Contact

* Contact name

* Relationship name

Please select the phone number(s) you would like to provide.

Home

Cell

Work

* Home phone

* Cell Phone

* Work Phone

Conclusion

VOLUNTEER PLEDGE (please read): I affirm that the information I have provided in this application is true and complete to the best of my knowledge. I understand that any falsified, misrepresented, incomplete or omitted information may disqualify me from consideration for volunteerism or result in my dismissal from volunteerism. I understanding that Ascension Saint Thomas Hospital has a valid need of my services as a Volunteer: I understand that I must complete all necessary Onboarding and Orientation requirements prior to beginning my service as a volunteer with Ascension Saint Thomas Hospital. I authorize Ascension Saint Thomas Hospital to request and receive any information and records concerning my criminal record history. I will consider as confidential, all information which I may hear directly or indirectly concerning a patient, physician, nurse, or any other person related to the hospital, and will not seek information in regard to any patient. I will be punctual and conscientious in the fulfillment of my duties and accept supervision graciously. I will conduct myself with dignity, courtesy, and consideration. I will represent the Volunteer Program in a positive manner by practicing service excellence, respecting all others, smiling, and using appropriate behaviors at all times. I will take any problems, criticisms, or suggestions, to the Volunteer Services Manager. I will endeavor to make my work professional in its quality and I will uphold the traditions of high standards of this hospital and will interpret them to the community at large.

* Please type your full name for confirmation