Please completely fill out the application. You will be contacted if we have a volunteer position available that fits your interest. If you have any questions feel free to email
New User Details
Volunteer Application Form
Basic Information
Home Address

If you are currently attending a school / university, please select the category which best applies
High School

Previous Volunteer Work
Have you volunteered before?
Volunteering at Mary Free Bed
You will not be denied volunteer work solely because of a conviction record unless the offense is related to the job for which you applied or there is a legitimate safety concern due to the nature of the hospital's business. It is our policy to offer equal opportunity to all volunteer applicants based upon merit and without regard to race, color, religion, national origin, sex, age, marital status, sexual orientation, height, weight, age or physical or mental disability. The use, distribution, sale or possession of alcoholic beverages', drugs and controlled substances (except for use by a physician order) while at work is prohibited. Reporting to volunteer under the influence of alcoholic beverages, drugs, or controlled substances consistent with the Drug Free Workplace Act is prohibited.
Certification and Signature
I certify that the information in this application is correct and complete to the best of my knowledge. As a volunteer of Mary Free Bed Rehab Hospital, I will be required to follow the policies of the Volunteer Department and infractions of policies may lead to dismissal. I further understand the hospital reserves the right to change, revise, add or delete policies and rules as necessary and will be obligated to confirm such amendments.