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MultiCare Volunteer Services

Ways to Help

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)

Background Disclosure Statement

Release of Information Authorization

Personal Information

Greeting
Miss
Ms.
Mrs.
Mr.

First Name          Middle Initial

Last Name      Email Address

Primary Phone (Home)                                   Primary Phone (Cell)

Secondary Phone (Home)                            Secondary Phone (Cell)


Age
15 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/Physical Therapy
Pet Therapy (DELTA only)
Grounds
Child Life (Mary Bridge only)
Infant Rocking (Tacoma General only)
Gift Shops
BRIDGES: A Center for Grieving Children (Tacoma area only)
Celebrate Seniority (55 and Better Only)
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, Spanaway, West Tacoma)
Gig Harbor Medical Park (Gig Harbor)
Good Samaritan (Puyallup)
Tacoma General Hospital (Tacoma)
Allenmore Hospital (Tacoma)
Mary Bridge Children's Hospital & Health Center (Tacoma)
Auburn Medical Center (Auburn)
Adult Day Health (Tacoma)
Celebrate Seniority
Behavioral Health (Puyallup)
Home Health and Hospice (Tacoma)

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

Monday Morning Afternoon Evening Night	Tuesday Morning Afternoon Evening Night	Wednesday Morning Afternoon Evening Night
Thursday Morning Afternoon Evening Night	Friday Morning Afternoon Evening Night	Saturday Morning Afternoon Evening Night

Sunday
Morning
Afternoon
Evening
Night

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	Photography Macrame Gardening

MultiCare Health System

Volunteer Application Form

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