Adult Volunteer Application
Thank you for your interest in serving as a volunteer at St. Mary’s Medical Center and Palm Beach Children’s Hospital. We are currently recruiting volunteers who can meet our minimum commitment of four hours per week for at least a six month period. If you are a student or seasonal resident seeking a volunteer opportunity for less than six months, please explain your availability in detail on the enclosed application. Please give this serious thought before you commit; our patients and staff count on volunteers.
Complete Application for Adults (applicants 18 years and older)
Application Information
All fields with asterisk (*) are required.Enter your date of birth in this format: mm/dd/yyyy
Emergency Contact Information
Please list someone we can contact in case of an emergency.Name of Friends or Relatives Employed or Volunteering at St. Mary’s Medical Center
Personal References
Please list three personal references (Employers, Volunteer Supervisor, Teacher, etc. – No Relatives)Short Response
1. What is your previous volunteer experience? For each experience, please include the following information.
4. What special skills, interests or strengths would you offer as a volunteer? Please note if any of the following categories are applicable and elaborate.
Education and Work Experience
Please include university attended, area of study and degree obtained
Please include university attended, area of study and degree obtained
I agree to comply with all policies and procedures and to support the mission of St. Mary's Medical Center and to serve without remuneration for my services.
Please enter date in this format: mm/dd/yyyy