Thank you for your interest in volunteering. Here is the process to become a volunteer:
  • Complete Volunteer Application
  • Interview with Volunteer Department
If volunteer assignment is offered:
  • Background Check is conducted
  • Drug Screen is performed
Those moving forward must:
  • Complete TB skin test(s) or provide TB clearance
  • Provide Immunization
  • Attend Orientation
  • Complete training manual
  • Purchase Volunteer Uniform
  • Obtain Name Badge
  • Commit to 100 hours of service in a one-year period

Volunteer Application


St. Joseph’s Hospital Hospital
350 N. Wilmot Road
Tucson, AZ 85711
(520) 873-3993
St. Mary’s Hospital
1601 West St. Mary’s Road
Tucson, Arizona 85745
(520) 872-5747
CarondeletHeart & Vascular Institue
1601 West St. Mary’s Road
Tucson, Arizona 85745
(520) 872-5747

Which hospital would you prefer to volunteer at?  (includes Carondelet Heart & Vascular Institute)
Last Name:   First Name:   Middle Initial:
Street:   City:   Zip Code:  
Home Phone:   Cell/Message Phone #:
Email:   Date of Birth:    
 
EMERGENCY CONTACT:
Name of Emergency Contact: Relationship: City:
State: Zip Code: Phone:
           
Available Year Round: If no, what months are you away?
If Winter Resident, Summer Address:   City:   State: Zip:
 
EMPLOYMENT INFORMATION:
Current or most recent employer:
1. Company   Position  
Street:   City:   State:   Zip Code:  
Supervisor:   Title:   Phone#:  
From (MM/YY)   To (MM/YY)   Reason for Leaving:  
           
2. Company Position
Street: City: State: Zip Code:
Supervisor: Title: Phone#:
From (MM/YY) To (MM/YY) Reason for Leaving:
           
3. Company Position
Street: City: State: Zip Code:
Supervisor: Title: Phone#:
From (MM/YY) To (MM/YY) Reason for Leaving:
           
EDUCATION:
High School: Graduate/GED
Trade School: License:
College:
Major/Degree: Highest grade completed:  
Are you currently a student? School:   Major:  
VOLUNTEER EXPERIENCE:
Please list and describe in detail any volunteer position(s) you currently hold or previously held.
1. Agency: Duties:
Street: City: State: Zip Code:
Supervisor: From (MM/YY) To (MM/YY)
           
2. Agency: Duties:
Street: City: State: Zip Code:
Supervisor: From (MM/YY) To (MM/YY)
           
3. Agency: Duties:
Street: City: State: Zip Code:
Supervisor: From (MM/YY) To (MM/YY)
           
LANGUAGE SKILLS:
Are you FLUENT in language(s) other than English?
If yes, please list:
How did you hear about our program?
Please tell us why you want to volunteer at Carondelet Health Network. Be specific as possible and include characteristics and skills that you possess that would benefit the hospital:
   
Indicate days and times available:  
Any health conditions or physical limitations? If yes, explain:
Name of your Physician: Phone:
       
  Any Convictions?    
Conviction Date:  Discharge Date:
Conviction Details:
         
REFERENCES:
Please attach two personal or professional written references (Please exclude relatives):
Reference 1: Reference 2:

I hereby certify that the information contained is true, correct and complete to the best of my knowledge and belief. I am aware that should investigation at any time disclose any such misrepresentation or falsification, my application will be rejected and I may be dismissed from the Volunteer Program. All information given on this application will be confidential.

I authorize Carondelet Health Network to make all necessary and appropriate investigations to verify the Information contained herein. Carondelet Health Network is not obligated to provide a placement, nor are you obligated to accept the position offered.

  By checking this box I am providing my electronic signature to confirm that the information provided above is accurate.

Signature (Your Full Name):   Date: 4/19/2014 12:34:00 PM