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.
Date of Birth
Have you ever been convicted of a crime?
(Exclude minor traffic violations)
If yes, please explain:
(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
Employer or Former Employer
Supervisor or Contact Person
If no longer employed, reason for leaving:
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.