Volunteer Application for Adults (non-students)

Thank you for your interest in volunteering with us!

INSTRUCTIONS: If you are at least 18 years and are NOT a student or planning to return to school, please complete this form to begin the application process. If you are a current/future student (no matter your age), please do NOT complete this application. Instead, click HERE to apply. Questions? Email PHCVolunteerServices@providence.org.

Do you know what volunteer position(s) you are interested in? Before completing an application, please click HERE to review opportunities and availability. Please note that we do NOT maintain waiting lists so if the position(s) you are interested in is/are full or closed, please check back.

New User Details

User ID

User ID (verify)

Password

Password (verify)

IDENTIFICATION

* Last Name

* First Name (Legal)

Middle Name

* First Name (Preferred)

* Mailing Address

Apartment

* City

* State

* Zip Code

* Phone (Cell)

Phone (Home)

* E-mail (Preferred; it can be the same as your User ID)

Volunteer typePlease select Adult. If you are a student, regardless of age, please complete the Volunteer Application for Students rather than this one.

Are you at least 18 years old?

EMERGENCY CONTACT

* First and Last Name

* Relationship to You

* Phone (Cell)

Phone (Home)

Phone (Work)

EDUCATION

Please select the highest level of education you completed.

EMPLOYMENT

Occupation

LOCATION and AREA(S) OF INTEREST

Based on your area(s) of interest, please select the one campus where you are most interested in volunteering.

Please select at least one area of interest that corresponds to the campus you selected above (HF, MG, SH or SL); not all areas are available at all campuses. If you do not see the area(s) listed that interest you, the schedule may be full. Please see the Volunteer Opportunities page for a list of positions and statuses.

*Must be at least 18 years old to apply for emergency and critical care services.

If you selected OTHER, please explain.

* Please tell us a little bit about your interest in volunteering and why you selected the above area(s).

If your area(s) of interest are not available at the location you selected, are you interested in having your application referred to another Providence location?

AVAILABILITY

We require a minimum commitment of 75 hours of service, which for most positions is fulfilled through the same 3-hour shift per week for at least six consecutive months. In carefully considering your other responsibilities and anticipated life events, are you able to fulfill this commitment?

If no, please explain.

Do you treat your volunteer commitments with the same importance as other obligations, such as work and school, and will show up when scheduled?

If no, please explain.

Will you be available to start shortly after completing all screening and training requirements, which may take at least several weeks to complete?

If no, please explain.

Please select the days and times you are available to volunteer for a 2-, 3- or 4-hour shift on a weekly basis. In general, morning shifts are between 8 a.m. to 12 p.m., afternoon shifts are between 12 - 4 p.m., evening shifts are between 4 - 8 p.m. and nights shifts are between 8 p.m. to midnight. NOTE: Shift lengths and times vary by service area and may not be available evenings and/or weekends. To see the shifts for your area(s) of interest, please refer to the Volunteer Opportunities page on this website.

Weekend (Sa-Su) mornings

Weekend (Sa-Su) afernoons

Weekend (Sa-Su) evenings

Weekend (Sa-Su) nights

Weekday (Mo-Fr) mornings

Weekday (Mo-Fr) afternoons

Weekday (Mo-Fr) evenings

Weekday (Mo-Fr) nights

Please provide any comments about your availability that you feel would be helpful for us to know.

QUESTIONS ABOUT YOU

How did you hear about volunteer opportunities with us?

If other, please explain.

Have you been/are you a Providence employee?

* Please tell us about your previous/current volunteer experiences (if none, write N/A).

Please select any skills you have that you may like to share.

If other, please explain.

Are you required to volunteer?

COVID-19 VACCINE AGREEMENT

By state law, you will be expected to be fully vaccinated for COVID-19 or obtain an approved exemption as a condition of your volunteer service. Medical and religious exemptions can be requested shortly after being offered a position and are available to those with a qualifying medical reason that prevents them from safely being vaccinated, or sincerely held religious beliefs. Medical exemptions will require additional documentation signed by your medical provider. Those who have approved exemptions may be required to follow additional protocols, such as enhanced COVID-19 testing, mandatory vaccine-related education/discussions, and/or other infection prevention requirements in accordance with ministry/facility policy, CDC or state and local public health government orders. Do you understand and agree that you must comply with this condition of volunteer service?

VOLUNTEER AGREEMENT

The information I provided in this application is complete and accurate to the best of my knowledge.

I understand that placement is contingent on timely and successful completion of an interview, volunteer orientation, criminal background check, health screening and role-specific training.
I understand that if I do not successfully complete volunteer orientation, a criminal background check and a healh screening within 30 days, Volunteer Services reserves the right to discontinue the application process.
If accepted as a volunteer, I must abide by all Providence policies and procedures, including holding patient information in strict confidence. Failure to comply with these requirements may result in immediate dismissal.
I am not entitled to and will not receive any compensation, salary, benefits or other payments in exchange for my service.

* By selecting the checkbox, you certify that (i) you are the individual completing this form; (ii) all information entered on this form is true and accurate to the best of your knowledge; (iii) you agree with all terms and conditions as listed on this form; and (iv) you consent to using the checkbox as the means of providing your signature electronically and that such electronic signature is a valid e-signature.

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