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Volunteer Services

Application For Adult Volunteer

(This application is for Cleveland Ohio Main Campus Adult Volunteers)


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Will you be receiving credit for volunteer service, with an official college degree program?
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Is volunteering a requirement for a Court Ordered Community Service?
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Will you receive financial or other benefits for volunteering?
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Emergency Contact
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Availability

Volunteers are placed in a regular weekly assignment. Some volunteer assignments are available seven days a week, early morning through late evening. Indicate the day(s) of the week you are available to volunteer. If you are flexible in the days/times you can volunteer, place a check in any of the boxes based on your availability. This information will help us determine the possible position openings that may be of interest to you when you meet with the volunteer coordinator.

Volunteer Shift Start Time

Morning: 8am - Noon:
Mid Day: 10am - 2pm:
Afternoon: Noon - 4pm:
Evenings: 4pm - 8pm:
Nights: 7pm - 11pm:
Is this for summer only?
Limitations
Are there any reasonable accommodations we should consider?
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How did you hear about us?







Areas of Interest

Indicate below one or more areas where you might like to volunteer at our Cleveland, Ohio Main Campus.

Interest:





Education
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Did you graduate?
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Diploma/Degree:
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Employment
Are you currently employed?
Please list any verified volunteer service you have done in the past.
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Other verified volunteer service you have done in the past.
Miscellaneous
Have you ever served in the military?
Statement of Commitment

  • I certify that the information provided in this application is complete and accurate to the best of my knowledge.
  • I understand that if accepted as a volunteer, statements found to be false or misleading will be cause for my immediate termination. Cleveland Clinic has permission to contact directly references I have listed or any other sources concerning my prior volunteer or personal history, and I release all parties from any possible damages resulting from disclosing such information with or without prior notice to me.
  • I understand there are certain training requirements that must be fulfilled, and performance standards that must be maintained in order to volunteer at Cleveland Clinic.
As a Cleveland Clinic Volunteer, I will:
  • Agree to volunteer 1 shift per week for a minimum 75 hours over 9 consecutive months, notify Volunteer Services any time I am unavailable to volunteer for my assignment, and I give permission for a background check to be performed by Cleveland Clinic Protective Services.
By typing my name in the following box I certify the above statements to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my volunteer application and background check.

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