Volunteer Application for Complementary Therapies

Thank you for your interest in volunteering at Enloe Health. Please note that you will need two (2) character reference letters to complete your application. Incomplete applications will not be considered. You will receive information at the end of the application on how to submit your character reference letters. Applications awaiting character reference letters will be discarded after 60 days. Please note: Applications cannot be saved, if you don't finish you will need to start the application process over.

New User Details

User ID

User ID (verify)

Password

Password (verify)

Are you over 18 years of age?

You must be 18 or older to submit this application.

Are you currently enrolled in college?

Are you currently an employee of Enloe Health?

Since you are an Enloe employee, we ask that you fill out this application instead.

Please indicate your interest

If other, please specify

PLEASE TELL US ABOUT YOU

* First name

* Last name

* Preferred name

* Birthday

* Home Street Address

* City

* State

* Zip/postal

* Phone (Preferred)

Phone (Secondary)

* E-mail

* Confirm email address:

* Last 4 of your social security #

IN CASE OF AN EMERGENCY PLEASE NOTIFY:

* Contact name

* Relationship to you

* Phone (Preferred)

Phone (Secondary)

Have you ever commited, been convicted, pled guilty or pled no contest to a felony or a misdemeanor? NOTE: Conviction of a crime is not necessarily grounds for disqualification.

* If yes, please provide date(s) and explanation.

EXPERIENCE

Do you speak any language, other than English, fluently? If so, please indicate what language(s).

What is your current employment status?

Current or last place of employment

Have you ever applied to be an Enloe Volunteer before?

Have you volunteered in a healthcare setting before?

* If yes, describe the experience.

Have you volunteered at any other organizations?

* If yes, where and for how long:

What do you hope to gain from your volunteer experience?

If you haven't volunteered in a healthcare setting before, what about the healthcare setting is appealing to you?

Are there any volunteer activities or conditions that you must avoid?

* If yes, what activities must be avoided:

You are applying to the Pets Assisting with Service (PAWS) program. Please provide the following information about your dog.

* Dog Name

* Dog Breed

* Date your certification became effective

Character References

All prospective volunteers are required to provide at least two character references as part of the application process.

Letters of reference should be obtained from two people who are familiar with the personal and/or professional characteristics you possess. These letters help us to get to know you better. They speak to your character and suitability as a volunteer in a healthcare setting. Learn more.

I understand that I need to submit two character reference letters to complete my application. I understand that a delay in submitting character reference letters may result in my application being disqualified for consideration. By entering my name below I acknowledege my understanding and agreement with these statements.

* First Name:

* Last Name:

* Character Reference #1

* Character Reference #2

Applicant Acknowledgments

By entering my name below, I certify that the information provided in this application is true in all respects, without any willful omissions. I understand that if this application is false in any way, I will be dismissed without notice regardless of when the false information is discovered. (copy)

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