Volunteer Application Mansfield

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Volunteer Application Mansfield
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This application is solely for Texas Health Mansfield Hospital. Please complete this application form if you are interested in becoming an Adult Volunteer.

Volunteers make a meaningful difference in the lives of our patients, visitors, care teams and community. Through compassion, service and support, our volunteers help create a welcoming hospital experience while serving as ambassadors for Texas Health Hospital Mansfield.

Whether offering a helping hand, a friendly smile or support for hospital programs and services, every volunteer plays an important role in caring for our community.

* Required Field

Date of Application * Date of Birth * First Name * Last Name * Preferred Name * Address Line 1 * Address Line 2 City * State * ZIP Code * Home Phone * Cell Phone Number Email Address * Employer * Work Phone * Spouse's Name Children's Name(s)

Military Status * Active Duty Never Served Veteran

Branch of Service Air Force Army Coast Guard Marine Corps Navy

Have you ever worked for Texas Health Resources, including affiliates Arlington Memorial Hospital, Presbyterian Healthcare System or Harris Methodist Hospitals? * Yes No

Education

High School * College Degree Special Training or Skills

Emergency Contact

Name * Relationship * Phone Number *

References

List contact information for at least two personal references. (Some positions may require recommendation letters of that reference to fill out additional forms. The volunteer leader will notify you if this is the case.)

Name of Reference 1 * Phone Number * Email * Name of Reference 2 * Phone Number * Email * Why are you interested in volunteering? *

Do you have previous hospital or health care volunteer experience? * Yes No

How did you hear about the volunteer program? * Employee Friend Internet Relative Volunteer Other

Other than English, what other languages do you speak fluently? * In what areas of the hospital are you interested in volunteering? *

What days of the week are you able to volunteer? * Sunday Monday Tuesday Wednesday Thursday Friday Saturday

What times are you able to volunteer? * Morning Afternoon Evening Overnight

*Agree - I have read the above information and agree to terms included in this application.

What happens now?

Your application will be reviewed for a match with your interests and hospital needs. If a match exists, you will be requested to come in for an interview. If your decision is to proceed as a volunteer, you will be asked to sign an authorization for a background check required of health care workers and volunteers. Once the background check is completed and cleared, we will welcome you as a volunteer and plan your orientation and training before an assignment is made. This process usually takes 4 to 6 weeks.

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