Volunteer Application

Thank you for your interest in volunteering at OSF Saint James - John W. Albrecht Medical Center. Please fill out the form below and one of our volunteer coordinators will be in contact with you shortly.

Please Note: Volunteering at OSF Saint James does not in any way guarantee employment. By submitting this application, you are willing to commit to a minimum of 60 volunteer hours in a year.

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Please provide the most convenient phone number to reach you.
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If you were referred by a friend or current volunteer, please provide their name here.

Emergency Contact

In case of an emergency, please let us know who to contact on your behalf.

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Education

Please information about the most recent school that you attended in the fields below.

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Experience

Please provide information about your most recent work and volunteer experience in the fields below.

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Please provide the most recent organization or company that you worked for.
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Please provide any volunteer experience you might have including the organization you worked for and what type of work you did. If this is your first volunteer position, please type "None" in the field.

References

Please provide three (3) references below. Family members or former employers are not acceptable references.

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Criminal Background

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Miscellaneous Information

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