Adult Volunteer Application

Adult Volunteer Application

To apply for a volunteer position, please fill in the form below and click Submit. Once you have submitted your request, you will be able to print a copy to keep for your record.

First Name
Last Name
Street Address
City
State
Zip/Postal Code
Date of Birth
Home Phone
Work Phone
Email
Location Preference
Have you ever been convicted of a crime? (Exclude minor traffic violations)
If yes, please explain:
Educational Data (Highest level completed)
Prior business or volunteer experience
What are the reasons you are deciding to volunteer at this point in your life?
Special skills, training, or experience
Specific area(s) or department(s) of interest:
References: Name, Address, City, State, Zip, Day Phone # Please do not list relatives
Reference 1:
Reference 2:
Reference 3:
Employer or Former Employer
Employer Address
Supervisor or Contact Person
Phone Number
Employment Dates
If no longer employed, reason for leaving:
Position
Responsibilities

I authorize persons, schools, current employer (if applicable), previous employers and organizations named in the application to provide the Saint John Hospital Volunteer Services Department with any relevant information regarding a volunteer assignment.

Agree: