MultiCare Health System

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  • Mary Bridge Children's Foundation
  • Hospice Volunteers
  • Bridges: A Center for Grieving Children
  • Tree House: A Place for Families
  • Good Samaritan Foundation
  • MultiCare Health Foundation
  • MultiCare Volunteer Services
    • Meet our Volunteers
    • Volunteer Opportunities
    • Volunteer Application
    • Questions about Volunteering
    • Health Care Exploration
    • Job Shadow
    • Auxiliary
     
  • Celebrate Seniority
  • Grannies' Attic
   
 

Volunteer Application Form

Please complete the online application below. Your submitted application will be reviewed for possible placement. The more complete you are in filling out your application, the better determination we can make in regard to placement. If you have questions about the volunteer process, please refer to the Questions about Volunteering page.

Below you will also find links to additional documents. If you are scheduled for an interview with a coordinator, you will need to print and complete the Background Disclosure Statement and the Release of information forms and bring them to your interview.

If you are under the age of 18, you will need to bring the parental consent form for the medical screening. This will be set up for you following your interview and your coordinator will discuss it with you.

Parental Consent (for teens age 15-17) ^(PDF)

Background Disclosure Statement ^(PDF)

Release of Information Authorization ^(PDF)

Personal Information

Greeting
  Miss
  Ms.
  Mrs.
  Mr.


       First Name          Middle Initial

       Last Name      Email Address

       Day Phone      Evening Phone

 Age
  15 years old or in 9th grade
  16 to 17 years old
  18 to 20 years old
  21 to 54 years old
  55 years or older

Have you lived in Washington State for more than 3 years?   Yes    No

Where did you learn about our program?
  School
  MHS Employee or Volunteer - Name
  Website
  Job
  Friend
  Other 

 

Mailing 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

Current Volunteer Positions, 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)
 

***If this is required for school or as entry into a particular program, list  the number of hours required and your deadline to complete the hours. (Otherwise, write "N/A")
 



 Volunteer Service Opportunities (Please select your area(s) of interest. For more information about each position, view our Volunteer Opportunities.

  Patient Support
  Ambassador/Information Desk
  Clerical
  Mail Room (Good Samaritan Only)
  Children's Therapy Unit (Good Samaritan Only)
  Surgery Waiting Room
  Entertainers
  Linen Services (Tacoma General only)
  Occupational/Physcial Therapy
  Pet Therapy (DELTA only)
  Grounds
  Child Life (Mary Bridge only)
  Infant Rocking (Tacoma General only)
  Nutrition Services (Tacoma General only)
  Gift Shops
  BRIDGES: A Center for Grieving Children (Tacoma area only)
  Celebrate Seniority
  Behavioral Health
  Adult Day Health (Tacoma area only)
  Tree House: A Place for Families (Tacoma area only)
  Clinic Support
  Hospice
  Other (View our Volunteer Opportunities)



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)
  Gig Harbor Medical Park (Gig Harbor)
  Good Samaritan (Puyallup)
  Tacoma General Hospital (Tacoma)
  Allenmore Hospital (Tacoma)
  Mary Bridge Children's Hospital & Health Center (Tacoma)
  Adult Day Health (Tacoma)
  Celebrate Seniority (Puyallup & Tacoma)
  Behavioral Health (Puyallup)
  Home Health and Hospice (Tacoma)

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)


Please explain why you would like to volunteer with our organization
 


What goals do you hope to achieve through volunteering?
 


Do you have any restrictions that might limit your ability to perform certain volunteer assignments? (lifting, pushing, standing, walking)

 

Skills/Preferences

Helping Patients   Mailings/ Special Projects   Typing/Filing   Musical Instrument	Errands/Delivery   Answering Phones   Journalism   Calligraphy	Knitting   Crocheting   Singing   Graphic Arts
Needlework   Sewing/Crafts   Computers   Numbers/Data	Events   Foreign Language   Face Painting   Public Speaking	Massage Therapy   Photography   Macrame   Dancing   Gardening

      
Volunteer Work Preferences

Adults   Children   Visitors/Families   Patients

Other Volunteers   Individually   Office   Other

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