WMCHealth Healthcare Explorer Program Application

Thank you for your interest in volunteering at WMCHealth.

Volunteer candidates must meet certain requirements before volunteering:

HEALTH SCREENING: Volunteer candidates are required to have a physical examination and receive clearance from WMCHealth. The Volunteer Department will assist in making an appointment for you with our Occupational Health Department.

HOSPITAL ORIENTATION: Attending a hospital orientation is mandatory prior to volunteering. You will be scheduled to compete a virtual hospital orientation, followed by a facility tour.

REFERENCE FORMS: Volunteers will be required to provide two references, along with any other requested material, to their interview. Professional references are preferred.

If you have any questions, please contact the Workforce Development Office at workforcedevelopmenthelp@wmchealth.org.

Please complete ALL questions. The following information is necessary in order to complete the volunteer application process.

Volunteer Type

High School Senior Experience

Volunteer Opportunities vary depending on the age of the volunteer. Please select your age group.

16-18 years18-21 years

I would like to apply for a volunteer position in:

Other languages spoken?

YesNo

Please list other languages spoken:

Full Legal Name :

Street Address 1:

City:

State:

Zip:

Preferred Phone:

Type:

Alternate Phone:

Date of Birth (mm/dd/yyyy):

Email Address:

Emergency Contact

Name:

Relationship:

Phone Number:

I am a current student at:

Please share the name of your High School here:

Have you previously volunteered at WMCHealth?

YesNo

If yes, dates:

Do you currently have any friends or relatives, employed or volunteering at any WMCHealth facility?

YesNo

If yes:

Name:

Facility:

Department:

Relationship:

Please complete ALL questions.

1. Why are you interested in the WMCHealth Healthcare Explorer Program?

4. Please list any special skills, talents, and/or hobbies.

5. Please describe any other commitments. (i.e. community, school, etc.)

Thank you.