Penn Presbyterian Medical Center

Apply Online at Penn Presbyterian Medical Center

Note: 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 Penn Presbyterian Medical Center.

If you are not ready to apply online yet, click here to return to the overview page for Penn Presbyterian volunteers.

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  • Choose a Program

Full Name

  • Title

  • MM/DD/YYYY

Local Address

Permanent Address

Phone / Email

Emergency Contact Information

Additional Information

  • Are you currently seeking volunteer service to fulfill a community service obligation (school, church, court referred)?

  • Is there anything that may adversely affect your ability to perform volunteer work, or that would require an accommodation in order for you to safely and competently perform volunteer work as requested?

Education

Please indicate the highest level of education completed.

  • High School:

  • College:

  • Graduate School:

Employment Experience

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

  • Have you ever worked for Penn Presbyterian Medical Center or any entity of the University of Pennsylvania Health System?

References

Please provide complete information on two references. Current or former job supervisors, teachers, or clergy persons may serve as references. Family members, relatives and friends may not provide recommendations on your behalf.

Reference #1

Reference #2

Criminal Background Check

  • Have you ever been convicted of a felony?

  • Have you ever been convicted of a misdemeanor?

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 Penn Presbyterian Medical Center. If accepted as a volunteer, I understand that I must abide by all of the policies, rules and regulations of the hospital.

I authorize Penn Presbyterian Medical Center 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."