Pennsylvania Hospital

Apply Online

Adult Opportunities

Please use this online application only if you are over 18 years of age.

Printable Application

If you would prefer not to apply online, you may complete our printable application and mail it to us at:

800 Spruce Street
Philadelphia, PA 19107

If you are 14 to 17 years of age, please contact the Volunteer Services office at 215-829-5187 for an application and more information. Please see our Junior Volunteer section for further information and requirements for our various programs.

Pennsylvania Hospital is located at 800 Spruce Street in Philadelphia. The Hospital of the University of Pennsylvania, located at 3400 Spruce Street, has a separate volunteer program.

This application is not secure in that it does not use 128-bit encryption to transfer information from your computer to our system. The information that you provide will be kept confidential and used only for the purpose of Volunteer Services at Pennsylvania Hospital.

Volunteer Application for the Adult Program

Please note that your application is not complete until you press the "Submit" button at the end of the form.

required field icon Denotes required fields

*Note: Teen volunteers may not apply online.

Full Name

  • Title

  • MM/DD/YYYY

Local Address

Permanent Address

Phone / Email

Emergency Contact Information

Employment Experience

Please complete the following based on employment held within the last 10 years.

  • Have you ever worked for Pennsylvania Hospital or any entity of the University of Pennsylvania Health System?

Education

Please indicate the highest level of education completed.

  • High School:

  • College:

  • Graduate School:

Volunteer Experience

  • Type of volunteer service preferred

  • Days preferred

References

No relatives or personal physicians please. References can be from employers, professors, personal friends, previous Volunteer Services Directors, etc). Prefer at least one professional reference, if possible.

Reference #1

Reference #2

Application Certification

I certify that the information I have provided on this application is true and complete to the best of my knowledge. I understand that misrepresentation, falsification, or omission of information may disqualify me from further consideration for volunteering, or may result in my termination as a volunteer at Pennsylvania Hospital. If accepted as a volunteer, I understand that I must abide by all of the policies, rules and regulations of the hospital.

I authorize Pennsylvania Hospital Volunteer Services Department to investigate all statements contained in this application and to make inquiries of my personal references and medical history, as well as other related matters as may be necessary for determining my eligibility as a volunteer. I hereby release employers, schools or individuals from all liability in responding to inquiries relating to my volunteer application.

Submit

If you are satisfied with your application, please press the "Submit" button below. Your application is not complete until you press "Submit."