Please note: After your initial commitment is fulfilled, in order to maintain “active” volunteer status you must continue to volunteer a minimum of 50 hours of service per year.
Please print, sign and mail this reference form to two personal references (other than relatives), who have known you for more than one year and who would be willing to serve as references.
I certify that all the information that I provide on this volunteer application and in any interview will be complete, true and accurate. I understand that if any such information is later found to be incomplete, false or misleading in any way it may be considered sufficient cause for termination of my volunteer service. I agree that Catholic Medical Center and any of the references provided on this application, may exchange information regarding my qualifications without incurring any liability whatsoever for supplying such information. I understand that I will not be paid for my services as a volunteer. I agree to abide by all organization and volunteer policies. I understand that CMC is not obligated to provide volunteer placement, nor am I obligated to accept the volunteer assignment offered.
Please note: Volunteer placement is subject to:
My typed name below shall have the same force and effect as my written signature.
Qualified applicants shall receive consideration regardless of race, religion, color, creed, national origin, sexual orientation, age, disability, marital status or any other legally protected status.