Thank you for your interest in volunteering at MetroHealth.

Please fill out the application below to begin the process. If you are 18 or over, we will be conducting a criminal background check and fingerprinting as part of our onboarding process.

MetroHealth Volunteer Application

Personal Information
Title
First name
Middle name
Last name
Street address
City
State
Zip/postal
Phone
E-mail
Volunteer Interest
Please check the location(s) where you would like to volunteer
Why are you interested in volunteering with The MetroHealth System?
Days of the week available to volunteer
Time of day available to volunteer
Have you ever worked or volunteered for The MetroHealth System?
If yes, indicate the facility, your position, and dates of service:
References
Please list two persons we may contact for a personal reference. Do not list relatives.
Name
Phone
Street address
City
State
Zip/postal
Name
Phone
Street address
City
State
Zip/postal
Employment/Education/Volunteer Experience
Employment Status & School Info
Employment Status
Employer
Position
Start Date
I am a student.
Name of School
Volunteer Experience
Describe your present/past volunteer experience, including name of organization, type of assignment, and dates:
Miscellaneous
1) Are you receiving an Ohio Public Employees Retirement System (OPERS) disability benefit?
Person to be contacted in case of emergency
Contact name
Relationship
Phone
Volunteers under the age of 18
Are you under 18?
If you are under 18 your parent or guardian must read and sign this statement.

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

Minor date of birth
Parent or Guardian Name
Date
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 false 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 accurate.
I Agree