Battle Creek, Bronson Battle Creek Hospital

Bronson Application to Volunteer

Battle Creek

Bronson Battle Creek Hospital

Confirm the location where you are interested in volunteering:

Personal Information

* First name (Legal)

First name (Preferred)

* Last name:

* Address:

* City

State

* Zip Code

Provide at least one phone number:

Cell Phone

Home Phone

Are you age 18 or older?

Objective

* What do you want to do as a volunteer (specific tasks)?

* Why do you want to volunteer at Bronson?

Is volunteering an academic requirement?

If yes, how many hours?

Are you volunteering to satisfy Court Ordered Community Service hours?

Education

I am currently:

School

Anticipated graduation date

What are your future Education and Career goals?

Skills

Please check the skills you have and would like to use in a volunter role.

Skills - General

Skills - Computer and Office

Additional skills

Interest and Availability

Public positions assist visitors and outpatients by greeting, giving directions and escorting.

- Positions include: Information Desk, Department Escort and Gift Shop Assistant

Inpatient positions have patient interaction, assist unit staff and provide amenities to inpatients.

- Positions include: Flower Delivery, Emergency Department, Patient Visitor, Pet Therapy and Pediatric Unit (Kalamazoo only)

Office positions provide clerical assistance in a hospital department or office.

Check all categories that interest you

* How many hours per week do you want to volunteer?

How long do you want to volunteer?

Please check the times when you are generally available to volunteer. At an interview, we will collect more specific information.

Personal Background

Bronson Experience

Have you ever worked, volunteered or had a student experience at any Bronson Company?

For each experience, provide your name, dates and at which Bronson company.

Volunteer Experience(s)

Please include the following for each experience, list the most recent first. Or upload a resume below.

Organization
Supervisor
Dates of service
Volunteer role

Work Experience

Are you currently employed?

Please provide information on your current or most recent employment. Or upload a resume below.

Company
Supervisor
Dates of employment
Brief list of responsibilities

Upload your resume here (Word or pdf)

References

How did you find out about volunteer opportunites at Bronson?

If you were referred by a current Bronson employee or volunteer, please give their name.

If you have any relatives that work or volunteer for Bronson, please list their name(s) and department(s).

Application Agreement

Read the following carefully before signing.

All applications will be reviewed. However, not all applicants will be interviewed.

Bronson does not discriminate in regards to race, color, national origin, gender, sexual orientation, gender identity, age, religion, disability, veteran status or any other characteristics protected by law.

I hereby certify that the information provided on this application (and any accompanying documents) is correct, accurate, and complete to the best of my knowledge. I also understand that any false information, representations or omissions may disqualify me from further consideration for volunteering.

I understand that Bronson Healthcare's volunteer screening process will include a search of criminal conviction history from appropriate law enforcement agencies.

I hereby give my consent for Bronson, through an authorized testing service of its choice, to collect blood, urine, hair or saliva samples, or other fluid or tissue samples from me and to conduct any other necessary medical tests to determine the presence of alcohol, drugs or controlled substances, and I hereby release Bronson from any liability arising out of such tests or results. Further, I give my consent for the release of the test results and other relevant medical information to authorized Bronson management for appropriate review. I understand that in order to be considered for volunteering at Bronson, I must be drug and alcohol free, as confirmed by such testing. If I am accepted for volunteering at Bronson, I hereby consent to be tested in the above manner while volunteering, in Bronsons judgment, such testing is appropriate, and I acknowledge that remaining free of illegal or unauthorized drug use is a condition to volunteer at Bronson.

If brought on as a volunteer, I agree to abide by the rules and policies of Bronson. I understand that my volunteering with Bronson is for an indefinite term, and I am subject to termination at any time with or without notice and with or without cause.

* By signing below, I acknowledge that I have read, understand and agree to the above statements. My typed name below shall have the same force and effect as my written signature.

Confirm that all required fields are complete before submitting the application.

Highlighted fields are required. You cannot submit the application if the field is empty.

Bronson Application to Volunteer

Battle Creek