Welcome to Mary Free Bed Volunteer Services

Please completely fill out the application. You will be contacted if we have a volunteer position available that fits your interest. If you have any questions feel free to email Volunteer@Maryfreebed.com

Online Volunteer Application

Volunteer Application Form
Basic Information
First name
Middle name
Last name
DOB
Gender
Volunteer source
Home Address
Line 1
E-mail
Line 2
City
State
Zip/postal
Home phone
Work phone
Mobile phone

Education
If you are currently attending a school / university, please select the category which best applies
High School
9th Grade
10th Grade
11th Grade
12th Grade
Name of School Attending
College
Freshman
Sophmore
Junior
Senior
Name of College Currently Attending
Field of Study

Previous Volunteer Work
Have you volunteered before?
Yes
No
Brief Explanation
Organization
Dates Volunteered (to-from)
Brief Explanation
Organization
Dates Volunteered (to-from)
Are you or a family member a past patient?
Volunteering at Mary Free Bed
What type of Volunteer Work are you interested in?
How did you learn about volunteering at Mary Free Bed?
Have you ever been suspended or discharged from employment?
Yes
No
If yes, please explain:
Have you ever been convicted of a felony or a misdemeanor?
Yes
No
You will not be denied volunteer work solely because of a conviction record unless the offense is related to the job for which you applied or there is a legitimate safety concern due to the nature of the hospital's business. It is our policy to offer equal opportunity to all volunteer applicants based upon merit and without regard to race, color, religion, national origin, sex, age, marital status, sexual orientation, height, weight, age or physical or mental disability. The use, distribution, sale or possession of alcoholic beverages', drugs and controlled substances (except for use by a physician order) while at work is prohibited. Reporting to volunteer under the influence of alcoholic beverages, drugs, or controlled substances consistent with the Drug Free Workplace Act is prohibited.
Certification and Signature
I certify that the information in this application is correct and complete to the best of my knowledge. As a volunteer of Mary Free Bed Rehab Hospital, I will be required to follow the policies of the Volunteer Department and infractions of policies may lead to dismissal. I further understand the hospital reserves the right to change, revise, add or delete policies and rules as necessary and will be obligated to confirm such amendments.
Electronic Signature