Volunteer Signup Form

Please note: Unfortunately, we cannot accommodate people attempting to fulfill court-ordered community service requirements.

All fields with asterisk (*) are required.
Enter your date of birth in this format: mm/dd/yyyy
Over 18 years of age?

Emergency Contact Information

Please list someone we can contact in case of an emergency.

Work Experience

(Important to complete for successful placement)

Please provide a personal reference

(not a relative) who has known you for at least one year.

Please check dates and times when you are available


Mornings 8am - 12pm






Afternoons 12pm-4pm






Evenings 4pm-8pm






Available for after hours volunteering 8pm-8am






All applicants 18 years and older will undergo a background check.
I agree to comply with all policies and procedures and to support the mission of St. Mary's Medical Center and to serve without remuneration for my services.

Please enter date in this format: mm/dd/yyyy