We will be conducting a criminal background check, fingerprinting, TB screening and drug screening. Please note that all volunteers must be vaccinated for COVID-19 and must receive a flu vaccine yearly.
You must be 16 years of age or older to volunteer. Please fill out the application below.
Personal Information
Volunteer Interest
Please list two persons we may contact for a personal reference. Do not list relatives.
Employment/Education/Volunteer Experience
Employment Status & School Info
Volunteer Experience
Person to be contacted in case of emergency
Volunteers under the age of 18. If under 18 please provide a date of birth.
If you are under 18 your parent or guardian must read and sign this statement. Please put n/a if you are not under 18.
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.
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, as well as a drug screening. Certain conditions would not apply if the volunteer is a minor or employee.

By submitting this form, I attest that the information I have provided is true and accurate.