Volunteer Application

Thank you for your interest in seeking volunteer opportunities with OSF St. Mary Medical Center.  To become a member of our volunteer team, simply complete the application below.

Our volunteer application (PDF) is also available for download.

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Please provide preferred number for follow up contact.

Birthday



Employment Information





Please provide the name of someone at work we may contact.

Please provide the best number to reach your employer contact at.

Criminal History

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If you answered "yes" to the previous question, please explain here.

References

Please provide the name, address, and phone number of three (3) non-family references below.

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Volunteer Information