Preselected Volunteer Application

This application is for volunteers that have already met with, interviewed and accepted into a volunteer program. Thank you for your interest in volunteering at Boston Medical Center! Please complete the below application and a member of Volunteer Services will reach out to you with next steps.

New User Details

User ID

User ID (verify)

Password

Password (verify)

* First name

* Family/last name

* Address

Address Line 2

* City

* State

* Zip/postal

* Phone (Mobile)

Phone (Home)

E-mail address

Demographic Information

* Date of Birth

Gender

Preferred Pronouns

* Start Date

* End Date

Preselected Placement Information

* BMC employee who has approved your volunteer placement at BMC.

* Please include the BMC program and position that you have accepted.

Education & Employment

Please select your current or highest level of education and employment status.

Education

School

Currently Enrolled

Employment Status

Interests in Volunteering

* Please describe why you would like to become a volunteer at Boston Medical Center

Emergency Contact

* Contact name

* Relationship

* Address

Address Line 2

* City

* State

* Zip/postal

Phone (Mobile)

* Phone (Home)

Phone (Business)

Internal Information

How did you hear about us?

Open to sporadic volunteering

Criminal Background Check

Boston Medical Center must be able to assure hospital safety for any children or patients in their care. Upon acceptance to the volunteer program, you will be required to complete a CORI Background Check. This information will remain in the strictest confidence and will only be used to determine your suitability for a certain placement. The existence of a criminal conviction history is considered only to the extent that it would impede the performance of a function essential to a particular position.

Agreement

I certify that the satements made in this volunteer application are true and correct, and have been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest, and I release the agency from any liability whatsoever for supplying such information.

I understand that I will not be paid for my services as a volunteer.

* I agree