AHN Volunteer Application

Join our dedicated team of more than 2000 volunteers! A variety of meaningful volunteer opportunities are available with the Allegheny Health Network.

Volunteering is a wonderful way to bring happiness into the lives of others. We look forward to matching your talents and interests with one of our volunteer opportunities.

The minimum age to volunteer is 16. To submit your application, please complete the application below or contact the appropriate hospital volunteer coordinator. The Allegheny Health Network follows all applicable equal opportunity laws and supports a diverse workplace, fostering communications and participation while providing reward and recognition for individual and team achievements. Our policies prohibit unlawful discrimination due to race, color, sex, sexual preference, religion, age, national origin, veteran status, disability, income level or any other characteristic protected by federal, state or local law or regulation.

New User Details

User ID

User ID (verify)

Password

Password (verify)

* First name

* Family/last name

* Address Line 1

Address Line 2

* City

State

* Zip/postal

* Phone (Home)

Requested site

Were you previously a volunteer within the Allegheny Health Network?

I confirm that I am 16 years of age or older.

The minimum age to volunteer is 16. Please keep us in mind when you are old enough.

I confirm that I am 18 years of age or older.

I confirm that I have a valid social security number.

You must have a valid Social Securty number to be eligible to volunteer.

* Why did you select Allegheny Health Network?

Interests and Opportunities Note: Dog Therapy is only applicable if you have a certified therapy dog. If you do not have a certified therapy dog, please do not select this interest.

Are you 18 or older?

Thank you for your interest but you do not meet the qualifications for this program. (copy)

Is your dog a certified therapy dog?

Thank you for your interest but you do not meet the qualifications for this program.

After you submit this application you will be sent a link via email to complete an application for your dog.

History

* Work/Volunteer Experience

Experience Date Range

Type of Experience

Are you related to any employee or staff member of the Allegheny Health Network?

* If yes, list the name of the employee, your relationship to that person, and the department in which they work

Have you ever been employed by the Allegheny Heath Network?

* If so, when and where?

Are you required to perform court-ordered community service?

Have you ever been convicted of a felony?

* If so, describe in full. (A past conviction does not necessarily prevent you from being considered for volunteer work.)

References

Please list two professional/character references (supervisor of paid/volunteer work, clergy, teacher).

* Reference 1 name

Relationship

* Reference E-mail

* Phone

* Reference 2 Name

Relationship

* Reference E-mail

* Phone

Emergency Contact

* In case of emergency, notify: Contact name

* Relationship

Phone (Home)

Phone (Mobile)

Agreement

* I hereby certify that the foregoing statements are true and correct to the best of my knowledge and belief and have been given voluntarily. I understand that Allegheny Health Network requires certain information both personal and professional from me to evaluate my qualifications and consider me for volunteer services. I understand that in consideration of my application, a background investigation may be conducted. I hereby grant Allegheny Health Network permission to verify such answers and investigate all references, and conduct such further investigation as is necessary, including, but not limited to, the performance of medical examinations, drug screening, reference verification, military service verification, and criminal background checks. I understand that any false statements or incomplete information on this application may be considered sufficient cause for rejection of this application or for dismissal if such information is discovered subsequent to my volunteer work. I authorize any past and present employers, personal references, and other organizations, to answer all questions asked concerning my previous employment and/or volunteer record, ability, character, educational background, military service, or criminal history. I hereby release all employers, persons or organizations, from any liability whatsoever for providing this information. I understand that I may be asked to discontinue my volunteer services at any time for any reason. I understand that Allegheny Health Network will not be responsible for any personal injury or property loss that may occur to me while performing volunteer services. I understand that I will not receive any monetary compensation from Allegheny Health Network, individual employees or anyone else for serving as a volunteer. I hereby agree to abide by all policies and procedures of Allegheny Health Network. I will treat information regarding patients and employees in strict confidence. By submitting this application I agree with the Applicant's Certification.

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