Welcome to Corewell Health Volunteer Services

Corewell Health South (Lakeland) Volunteers

* User ID/e-mail address

* User ID/e-mail address confirm

* Password

* Password confirm

Requested Location

Corewell Health South (Lakeland Hospitals)
Volunteer Application

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

By continuing the application, I acknowledge that:

I am able to commit for at least six months

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)

Current Address

* Address Line 1

* City

* State

* Zip/Postal

Permanent Address (only if different than current)

Address Line 1

Address Line 2

City

State

Zip/Postal

Contact Information

* Preferred Email Address ***CMU/GVSU collegiate emails are usually undeliverable within the application system so please use an alternate email address

Home Phone

Mobile

Work Phone

May We Text You? (Check if Yes)

Preferred Phone Number

Emergency Contact Information

* Name

* Relationship to You

* Home Phone

Cell 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?

Where are you interested in volunteering?

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 16 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:

.

My application will be reviewed and I will be contacted by phone or email.

* Electronic Signature (type your full legal name in the box below) (Under 18 - requires Parent Electronic Signature)

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

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