Filling out a hospital application form is a critical step for individuals aiming to join the voluntary corps, necessitating a meticulous approach to presenting personal and professional information. This form, designed to gather comprehensive details from volunteers, encompasses a wide array of fields, including personal identifiers like name, contact information, and date of birth, along with more intricate data such as employment status, educational background, and any previous volunteer experience within a hospital setting. Applicants are prompted to express their volunteer work preferences, skills, and motivations for joining the program, ensuring a match between the volunteers’ capabilities and the hospital's needs. The form also delves into legal backgrounds, asking for disclosures regarding any past misdemeanors, felonies, or involvement in abuse investigations, with a clear warning about the consequences of falsification. This declaration of honesty highlights the importance of integrity and reliability in candidates, given the sensitive environment they wish to enter. The completion and signing of this application form represent a crucial preliminary step for prospective volunteers to contribute to their communities, supporting healthcare institutions in providing essential services.
| Question | Answer |
|---|---|
| Form Name | Hospital Application Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | how to fill hospitel form, adjudications, false, post hospital form |
VOLUNTEER CORPS
Volunteer Services Application Form
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Preferred Nickname: |
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Last Name: |
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First Name: |
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M.I.: |
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Home Address: |
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Apt #: |
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Zip Code: |
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Phone # (Home): |
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Phone # (Work): |
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I prefer to receive calls at: |
Home Business |
Either |
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Date of Birth: |
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Social Security #: |
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Driver’s License Number: |
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In Case of Emergency Notify: |
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Relationship: |
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Phone #: |
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Employment Information: Unemployment Employed Retired |
Student |
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Employer’s Name (or School): |
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Occupation: |
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Educational Background: |
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Have you ever volunteered in a hospital before? No |
Yes If yes, where and in what capacity? |
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What type of volunteer work are you interested in?
What skills or special talents would you like to share in volunteering?
How did you ind out about our Volunteer Program?
Why do you want to volunteer?
Except for adjudications as a youthful offender, wayward minor or juvenile delinquent, have you ever been found guilty of ANY misdemeanor, felony or forfeited bail in any court?
No Yes If yes, give details on back side of this sheet.
Have you ever been involved in an abuse, mistreatment and/or neglect investigation by any facility or state agency (e.g. Dept of Health, Child Abuse Registry, Dept of Social Services)?
No Yes If yes, give details on back side of this sheet.
I hereby afirm that this application contains no willful misrepresentations or falsiications and that this information given by me is true and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any misrepresentation or falsiication, my application will be disapproved and my appointment may be rescinded. I am also aware that a false statement is punishable under law by ine or imprisonment or both.
Signature: |
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Date: |
Vol Application Forms (2/08)