MultiCare Health System

Volunteer Application

In addition to completing the online application, please complete the following documents and bring with you to your scheduled interview :

Parental Consent (for teens age 15-17)

Background Disclosure Statement


Personal Information

       First Name    Middle Initial

       Last Name

Email Address

       Day Phone    

Evening Phone


Age
  15 years old
  16 to 17 years old
  18 to 20 years old
   21 years or older


Where did you learn about our program?
  School
  Job
  Friend
  Other

Address
                Street       City    

                 State        Zip

Education

College (Please include school name, dates attended, years completed and degree)
  

 High School (Please include school name, dates attended, years completed and degree)
 

Other Schools Attended (Please include school name, dates attended, years completed and degree)
 


Current Employment/Volunteer Obligations

Occupation      

Employer/School, if any


Prior Work Experiences (to help Volunteer Services identify skill areas)

Jobs (Be sure to include company, dates and job title for each position)
 

Volunteer Work (Be sure to include company, dates and job title for each position)
 


Volunteer Assignments (Please select your area(s) of interest)
  Patient Support
  Patient Information
  Office Support
  Entertainers
  Facility Support
  Infant and Child Services
  Crafting
  Gift Shops
  BRIDGES: A Center for Grieving Children
  Tree House: A Place for Families
  Clinic Support
Other (View the Volunteer Assignment Guide)


Volunteer Location (Please select the facility you would prefer)
  Clinics in South King County (Covington, Auburn, Kent, Maple Valley, North Shore)
  Clinics in Pierce County (Lakewood, University Place, Spanaway, Westgate)
  Tacoma General Hospital
  Allenmore Hospital
  Mary Bridge Children's Hospital & Health Center
  Adult Day Health


Availability (Please check your preferences. Specific schedules get discussed in the interview.)

                                      
 Monday                                        
  Morning (8am-12pm)      
  Afternoon (12-4pm)
  Evening (4-8pm)
  Night (8pm-2am)

 Tuesday
  Morning (8am-12pm)
  Afternoon (12-4pm)
  Evening (4-8pm)
  Night (8pm-2am)

  Wednesday
  Morning (8am-12pm)
  Afternoon (12-4pm)
  Evening (4-8pm)
  Night (8pm-2am)
 Thursday
  Morning (8am-12pm)
  Afternoon (12-4pm)
  Evening (4-8pm)
  Night (8pm-2am)
  Friday
  Morning (8am-12pm)
  Afternoon (12-4pm)
  Evening (4-8pm)
  Night (8pm-2am)
  Saturday
  Morning (8am-12pm)
  Afternoon (12-4pm)
  Evening (4-8pm)
  Night (8pm-2am)

Sunday
  Morning (8am-12pm)
  Afternoon (12-4pm)
  Evening (4-8pm)
  Night (8pm-2am)



Other Comments
 
         

In addition to completing the online application, please complete the following documents and bring with you to your scheduled interview :

Parental Consent (for teens age 15-17)

Background Disclosure Statement

Reference Form