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Big Rapids/Reed City Hospitals Application

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Corewell Health West - Big Rapids/ Reed City Hospitals
Volunteer Application

Before filling out an application, please be sure to read the requirements and next steps on the Corewell Health West volunteer website. To go to the website now, click here.

By continuing the application, I acknowledge that:

I am at least 18 years old

I am able to commit for at least six months

I am willing to complete a background check (for those applicants 18 years and older)

I am willing to complete medical requirements such as Tuburculosis skin tests, immunizations, blood draws and the seasonal flu vaccination

Personal Information

* First Name

Middle Name

* Last Name

Preferred Name

* Date of Birth (mm/dd/yyyy)

Gender

Demographics - Race and Ethnicity

Current Address

* Address Line 1

* City

* State

* Zip/Postal

Contact Information

* Preferred Email Address

Please enter your preferred Phone number

* Mobile

Home Phone

Work Phone

May We Text You? (Check if Yes)

Emergency Contact Information

* Name

* Relationship to You

* Cell Phone

Home Phone

References (two non family members)

First Reference

* Name

Relationship

* Phone

E-mail

Second Reference

* Name

Relationship

E-mail

* Phone

History

Have you ever been convicted of a crime, inculding all felonies and misdemeanors (including traffic offenses)?

If yes, please explain:

Are you eligible to work in US?

Are you a US Citizen?

If no, documentation may be required at a later time.

Education/Employment

Highest Level of Education Completed

College/University

Degree Field/Area of Study

Are you a current student?

Are you required to volunteer (i.e. high school or college requirement)?

Please explain:

Are you receiving credit for volunteering (i.e. college course)? Check box if yes.

Please explain:

Are you currently employed?

Current/Most Recent Employer

Position/Title

Have you ever been employed by Corewell Health?

If yes, please list the dates, role, entity, and department you worked in.

Have you ever volunteered at Corewell Health?

If yes, please list the dates, role, entity, and department you volunteered in.

If you have worked or volunteered at Corewell Health under a different name (i.e. maiden name), please list it below:

Is there any employment and/or volunteer experience you would like to share with us?

Volunteer Interest

* Please explain your interest in volunteering at Corewell Health:

Interests/Hobbies

Additional Languages Spoken

How did you hear about us?

How long are you willing to commit to volunteer?

Availability (check all that apply)

Were you directed to apply to one of these Corewell Health programs?

If Guild, which one:

Referred By:

Agreement and Electronic Signature

* I agree that:

I am at least 18 years of age

I can commit to volunteer for a weekly shift for at least six months

I will complete all of the necessary paperwork and medical requirements

* I understand that:

When complete, my application will be reviewed and I will be contacted by phone or email if there is a possible match of a volunteer opening with my interests and availability.

* Electronic Signature (type your full legal name in the box below)

Thank You for taking the time to fill out an application to volunteer at Corewell Health!

Please click "Save" below to complete your application. You will receive a confirmation message on your screen, as well as to your email.