Welcome to CAMH Volunteer Resources

Dear Applicant:

Congratulations on taking the first step to becoming a volunteer with the NCH Healthcare System. Volunteers make the difference. As a NCH volunteer, you will provide services that are essential to the well-being of our patients, and our hospital operations.

We are seeking enthusiastic people with friendly smiles and a sense of commitment. Before completing the Volunteer Application, we invite you to read over some of the most Frequently Asked Questions.

Thank you for your interest in volunteering, please call the Volunteer Office at 239-624-3410 to learn more about the NCH Volunteer Program.

Sincerely,

Maxilia English, Volunteer Operations Manager

Adult Volunteer Application

18 years of age or older

* Application Date

Campus Choice

Downtown - 350 7th Street North, Naples, 34102

North Naples - 11190 Healthpark Boulevard, Naples, 34110

Marco Island Urgent Care Center: 40 S Heathwood Dr, Marco Island, 34145

Personal Information

* Name prefix

* First Name

MI

* Last Name

* Florida Address only; no P.O. Box

* City

* State

* Zip Code

Months living at this address:

* Preferred Phone Number (Include area code and dashes)

Phone Type

* Email Address

Are you over the age of 18?

Yes

No

Residential Status

Additional person types

Emergency Contact

Who would you like us to contact in the event of an emergency?

* Emergency Contact Name

* Relationship

* Phone Number (Include area code and dashes)

Vehicle Information

Please provide your vehicle information, so we may obtain a parking pass for you.

* Vehicle Make:

* Vehicle Model:

* Vehicle Year:

* Vehicle Color:

* Vehicle Tag Number:

Referral Method

How did you learn about volunteering at NCH Healthcare System?

If applicable, who were you referred by?

Education/Experience

* Tell us about your education and/or professional experience.

Are you currently enrolled in a college/trade school?

Yes

No

Is this application for College Hours?

Yes

No

If yes, how many hours will you need?

Total Hours

If applicable, share your expected college graduation date?

If applicable,share current/former college/trade school.

Degree

If applicable, share major/minor.

Are/Were you a member of the U.S. Armed Forces?

Branch of Service

If applicable, please share highest held military rank and any other awards/recognitions:

Work Experience

* Current/Former Occupation

* Employer/Former Employer

Are you currently employed?

Volunteer Interests/Preferences

* Please share your previous volunteer experience(s).

* How do you spend your free time? (hobbies, interests, etc.)

Computer Skills

Are you proficient in any computer programs?

Skills

* Please share any other professional skills.

Please list any languages spoken.

Getting to Know You

* Why do you want to volunteer at NCH Healthcare System?

* Tell us about a business or organization that provides world-class service. What makes them world-class in your opinion?

* Tell us about a time when you successfully worked as part of a team.

Background Information

Have you ever been employed by NCH Healthcare System or any of its affiliates?

Yes

No

NCH employment application in progress

If yes, include date hired and department(s).

Check yes if other than a mideameanor traffic violation, you have ever been charged with or convicted for a crime.

Yes

If yes, explain and provide the location (county and state).

Check yes if you have been charged with an unresolved criminal charge. (Are you charged with a crime that has not yet resulted in a plea of guilty, court trial, deferred adjudication or dropping of the charge?)

Yes

If yes, explain and provide the location (county and state).

Check yes if you are currently on probation.

Yes

If yes, explain and provide the location (county and state).

The NCH Healthcare System conducts criminal record checks on all incoming volunteers. This is done in accordance with the law and in an effort to enhance patient safety. Falsification or failure to disclose complete information will disqualify you from volunteer service. A conviction does not necessarily disqualify you from volunteer service.

All volunteers will be required to pay for their criminal background check. The criminal background check will be conducted by the NCH Healthcare System. Payment is due at time of orientation via check or cash in the amount of $24.00. NCH Healthcare System will provide your uniform and Tuberculosis testing at no cost. More tangible benefits to volunteering will be presented at orientation. If you are indigent and cannot afford to pay the required fee, please report to the Director or Coordinator of Volunteer Services for assistance.

I certify the above information is correct and the background information has been completed.

* I agree

* Enter your full name as your online signature here.

* Date

Thank you! We will be contacting you to schedule an interview.

We look forward to meeting you!