You can always press Enter⏎ to continue
Volunteer Application Form

Volunteer Application Form

  • 1

    Thank you for your interest in volunteering with Frederick Health!

    When bringing on a new volunteer, we strive to make the best possible match for all involved—finding the right match that is both comfortable and satisfying for both the volunteer and the organization. In order to accomplish this task, there needs to be a strong mutual commitment. By working together, we can make a difference in the lives of our patients and the Frederick community. 

    Due to the amount of time required for training and fulfilling necessary medical requirements, we ask for at least a 100 hour or 1 year commitment from our new volunteers.

    *High school and full-time college students may not apply online. Please contact the Volunteer office at 240-566-3567 for more information about those programs*

    Please select 'NEXT' to begin the online application process.

    Press
    Enter
  • 2

    The following is a brief overview of the timeline associated with becoming a volunteer with Frederick Health.

     

    • Interview with the Director of Volunteer Services or the Volunteer Coordinator 
    • Auxiliary dues ($10) are paid
    • General Orientation 
    • Annual Mandatory tests (online) 
    • Volunteer Readiness Review and Tour
    • Immunization and Health requirements 
    • Two training sessions in chosen Services Area
    • Uniform and Dress Code 

     

    Please select 'NEXT' to begin the online application process.

    Press
    Enter
  • 3
    Press
    Enter
  • 4
    Please Select
    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 5
    Press
    Enter
  • 6
    Press
    Enter
  • 7
    Press
    Enter
  • 8
    Press
    Enter
  • 9
    Press
    Enter
  • 10
    Junior Volunteer applications are available for high school students between the ages of 14-­17. Select 'NO' for more info.
    Press
    Enter
  • 11
    Press
    Enter
  • 12
    Please check all that apply.
    Press
    Enter
  • 13
    Please check all that apply.
    Press
    Enter
  • 14
    Press
    Enter
  • 15
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 16
    If so, where?
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 17
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 18
    Press
    Enter
  • 19
    You may select multiple.
    Press
    Enter
  • 20
    NOTE: This question does not apply to convictions that have been expunged, sealed, pardoned, or otherwise exonerated or eradicated. A conviction does not necessarily bar you from volunteer activities. A conviction that is substantially related to the functions or qualifications of the position(s) for which you are applying may be taken into consideration.
    Press
    Enter
  • 21
    Please be as detailed in your response as possible.
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 22
    Press
    Enter
  • 23
    • Huge
    • Large
    • Normal
    • Small
    Ok
    quoteCreated with Sketch.
    Ok
    Press
    Enter
  • 24
    Press
    Enter
  • 25
    Press
    Enter
  • 26

    I certify that the information contained within this application is correct to the best of my knowledge and I understand that falsifications, misrepresentations, or omissions are grounds for dismissal or rejection of this application.

    I authorize Frederick Health to conduct reference and police record inquiries as it deems appropriate. Continued association with Frederick Health may be contingent on the results of this investigation.

    I authorize all references listed in this application to give the Hospital any and all information that they may have, and release all parties, including the Hospital, from all liability for any damage that may result from furnishing same to Hospital.

    In consideration of my volunteer service, I agree to conform to the rules and regulations of Frederick Health and the Volunteer Program. 

    Press
    Enter
  • 27
    Clear
    Press
    Enter
  • 28
    -
    Pick a Date
    Press
    Enter
  • Should be Empty:
Question Label
1 of 28See AllGo Back
close