You are applying for Alexian Brothers Behavioral Health Hospital.
You are applying for Ascension Saint Alexius Medical Center
You are applying for Ascension Alexian Brothers - Hospice Residence
You are applying for Ascension Alexian Brothers Medical Center
You are applying for Ascension Alexian Brothers Rehabilitation Hospital
You are applying for Ascension Saint Joseph Chicago
We are only accepting applicants 18+ years of age.
Please provide your Cell and/or Home phone number
Cell
Home
Collating/sorting
Computer
Copier
Data entry
Detail oriented
Escorting visitors
Faxing
Filing
Gift Shop/Retail
Greeting visitors
Interacting with patients
Light lifting
Mail Sorting & Research
Microsoft Excel
Microsoft Outlook
Microsoft Powerpoint
Microsoft Word
Phone/reception
Push wheelchairs
Repair or Handyman
Restocking suppies
Stand/walk frequently
Typing
Other
N/A
Reason(s) for volunteering
Changing careers
College requirement
College/Grad school applications
FOR FUN!!!
HS requirement
Interested in healthcare
Other
Retired
Stay busy
To help others
Physical Mental limitations
N/A
I have a developmental disability
I have a speech disorder/unclear speech
I have limited hearing
I have limited vision
I use a walker most/all the time
I use wheelchair most/all the time
I'm unable to crouch/stoop/squat
I'm unable to lift heavy objects
I'm unable to push heavy objects
I'm unable to stand for long periods
I'm unable to walk long distances
Volunteer Interest and Availability
Sunday 8am - 12pm
Sunday 12pm - 4pm
Sunday 4pm- 8pm
Monday 8am - 12pm
Monday 12pm - 4pm
Monday 4pm- 8pm
Tuesday 8am - 12pm
Tuesday 12pm - 4pm
Tuesday 4pm- 8pm
Wednesday 8am - 12pm
Wednesday 12pm - 4pm
Wednesday 4pm- 8pm
Thursday 8am - 12pm
Thursday 12pm - 4pm
Thursday 4pm- 8pm
Friday 8am - 12pm
Friday 12pm - 4pm
Friday 4pm- 8pm
Saturday 8am - 12pm
Saturday 12pm - 4pm
Saturday 4pm- 8pm
Please list the start and end dates (if applicable) that you will be available to volunteer.
List additional information, i.e. extracurricular activities or other regularly scheduled obligations.
* List organization name, timeframe of volunteering and responsibilities, include past and present organizations
Prior Volunteer Service at Ascension Illinois
* Have you ever volunteered at an Ascension hospital before?
* List company name, timeframe of work and responsibilities, including past and present employers.
Do you have any family members or friends who are Volunteers or Staff at this hospital?
Must be 21 + years of age, and willing to be listed as your emergency contact.
Volunteers are subject to a criminal background screening.
Have you ever been convicted of an offense other than a minor traffic violation? A yes answer will not disqualify an applicant for consideration for a position; such information is only relevant in determining whether the conviction is directly related to the position for which you are applying. Failure to honestly answer this question will result in discontinued consideration of the application or termination of the volunteer role. Volunteers must meet the standards outlined in the AMITA Health policy.
Indicate whether or not you have been convicted of any criminal offense other than minor traffic violations, and if you need to fulfill court required service. Please answer honestly; answering "Yes" does not immediatly preclude your eligibility.
* If you answered 'Yes' to either question, list dates, place, court, action taken:
The success of Volunteer Services at Ascension depends on volunteers furthering our mission and values. Below are the essential expectations of all volunteers.
I understand and will abide by all Ascension policies, rules, and regulations:
I will commit to a minimum of 100 hours of volunteer service (unless otherwise specified) within 6 months of starting the program.
I understand that volunteer services are performed without compensation.
I will read the Volunteer Reference Guide to be provided by Volunteer Services.
I will complete the volunteer orientation as part of the application process.
I will purchase a uniform and wear it at all times while volunteering (unless otherwise specified).
I will adhere to the dress code as outlined in the Reference Guide.
I will adhere to the Health Insurance Portability and Accountability Act (HIPAA) laws as outlined in the Reference Guide.
I will have my picture taken for an ID Badge and will wear my badge at lapel level whenever volunteering.
I will complete all health screenings when applying and receive an annual flu shot.
I will submit to a criminal background check
I will complete the Annual Volunteer Training.
I will attend any required training sessions, as directed by my assignment or Volunteer Services.
I will abide by the Attendance Guidelines as outlined in the Reference Guide.
I will not volunteer while sick or symptomatic.
I will abide by the Cell Phones/Personal Electronics Policy as outlined in the Reference Guide.
I will sign in and out at the beginning and end of each volunteer shift.
I will volunteer at least 4 hours on a weekly basis, unless otherwise specified by my specific program.
I will volunteer during the times assigned by Volunteer Services. If I need to alter my assignment or schedule, I will speak with Volunteer Services at least two weeks before the proposed change.
I will communicate any concerns or questions to my assigned department. I will speak with Volunteer Services if the concern or question has not been resolved.
I will maintain a positive attitude and treat everyone with dignity, respect, and courtesy.
I will maintain professionalism and confidentiality at all times.
I understand and agree that submitting this application form does not automatically register me as an Ascension volunteer, and that there may be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.
I understand that I will not be paid for my services as this is strictly volunteer work.
Applicants may be required to successfully complete the pre-volunteer screening process which may include, but is not limited to: Drug Screen, Medical Check, Background Check, Criminal Investigation and Reference Checks.
By marking the "I Agree" box below, I hereby affirm that this application contains no willful misrepresentations or falsifications and that the information given by me is true and complete to the best of my knowledge and belief.