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Butler Hospital
Butler Hospital

Volunteering at a Care New England Organization

Are you interested in volunteering? We are happy to learn about your areas of interest.
If you are 18 years or older, please fill out the form below and submit. If you are under 18 years old, please call us and we will send you a teen application.

Butler: 401-455-6245; CNE Home Health: 401-737-6050; Kent: 401-737-7010, extension 1328; Women & Infants: (401) 274-1122, ext 2255

An * asterisk next to the question indicates required information.

Personal Information
Full Name: *
Address: *
City: *
State: *
Zip: *
Home Telephone: *
Mobile Phone:
Email Address: *
 

Education

(School Name and Degree)
High School: *
College/University:
Other:
 

Work /Volunteer Experience
Current/Most Recent
Employer/Organization:*
Position & Dates: *
Duties: *
 
Previous Employer/Organization:
Position & Dates:
Duties:
 
Previous Employer/Organization:
Position & Dates:
Duties:
 

Additional Information
Are you under the age 18? Yes  No
Why are you interested
in volunteer work?*		 Required to  General Interest
If required, please explain.
How many hours required?
Contact Person:
What type of volunteer work
are you interested in? *
At which affiliate do
you want to volunteer? *
How many days per week
do you wish to volunteer? *		 1   2   3
What time of day
do you prefer to volunteer? *		 Morning   Afternoon   Evening
Do you speak another language
fluently other than English?		 Yes
If so, which language(s)?
* Have you ever been convicted or sentenced for any violation of the law? Yes  No
If yes, when and for what charge?
A yes will not be an absolute bar to volunteering.
Do you agree to the terms below? * Yes  No

Emergency Contact Information
Full Name:
Relationship:
Contact Telephone Number:
 
  • I understand that my volunteer work is contingent upon my compliance with the required health screening and by attendance at the Hospital Orientation session.
  • I agree to maintain strict confidentiatlity in my position as a volunteer.
  • I understand that any false statements, concealment or withholding of information on this application or in any aspect of the volunteer placement process will be sufficient cause for withdrawl of any offer to participate in the volunteer position.
Two written references are required prior to starting volunteer assignments. Criminal background checks are processed on all volunteers once assignments are determined.



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Butler Hospital
Care New England Health System  |  Butler Hospital  |  VNA of Care New England  |  Care New England Wellness Center  |  Kent Hospital  |  Women & Infants
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