Thank you for your interest in volunteering at MetroHealth.

Thank you for your interest in participating in a Senior Project at MetroHealth. Please fill out the application below to begin the process.

Senior Project Application (High School)

Personal Information
First name
Middle name
Last name
Street address
Home phone
Mobile phone
Have you ever worked or volunteered for The MetroHealth System?
If yes, indicate the facility, your position, and dates of service:
Please select the location(s) where you would like to volunteer
Senior Project Information
Name of High School
Project Dates
Area of Career Interest
High School Senior Project Advisor
Phone Number
Email Address
MetroHealth Project Sponsor
Phone Number
Email Address
Person to be contacted in case of emergency
Contact name
Volunteers under the age of 18
Are you under18?
If you are under 18 your parent or guardian must read and sign this statement.

I give my permission for my son/daughter to participate with The MetroHealth System for their Senior Project. I verify that my son/daughter has not been convicted of any felonies or misdemeanors.

Minor date of birth
Acknowledgement and Signature
Parent or Guardian Name
Acknowledgement and Signature

I certify that all the information on this form is true and accurate, I understand that all application information will be verified and that flase statements or omissions will be considered grounds for immediate dismissal, no matter when such information is discovered or reported to The MetroHealth System. I understand that if I volunteer, I must become familiar with and abide by all the policies of The MetroHealth System. I further understand that my volunteering is conditional upon satisfactory completions of reference and background checks.

Applicant Name
Application date
By submitting this form, I attest that the information I have provided is true and accuate.
I Agree