Volunteer Application

There are two types of volunteers at OMC:

OMC Caring Partners Volunteer (ages 18 and older)
Volunteers in Patient Care (ages 16 and older)

Interested in learning more about our volunteer program? Visit: "Learn about OMC's Caring Partners Volunteer Program"

All volunteers must commit to a minimum of one year of service.

All volunteers must be at least 16 years of age.

All volunteers must commit to 25 hours of volunteer time.

* Denotes required fields

General

Salutation

* First Name

M.I.

* Last Name

* Address

* City

* State Example: NY

* ZIP Code Example: 12345

* Phone Number Example: 123-123-1234 x123

Email (preferred)

Family Members

* Do you have any family members employed or volunteering at OMC?

Yes
No

Employment/Volunteer Experience

* Are you currently employed?

Yes
No

* Do you have any previous volunteer experience?

Yes
No

Emergency Contact

#1 Contact

* First Name

* Last Name

* Relationship

* Phone Number Example: 123-123-1234 x123

Availability

* Please give a brief description of your availability, including days of the week available, number of hours per week, and time of day.

References

Please note that references will be checked, and your application process is not complete until we have completed references back. If you have volunteered in the past, or are currently volunteering, at least one reference must be from that organization. All references should be knowledgeable about your past experience and skills. Do not use family relatives as references unless they officially supervised you in a volunteer role.

Reference #1

* First Name

* Last Name

* Relationship (co-worker, co-volunteer, etc.; no relatives please)

* Address

* City

* State Example: NY

* ZIP Code Example: 12345

* Phone Number Example: 123-123-1234 x123

Email

Reference #2

* First Name

* Last Name

* Relationship (co-worker, co-volunteer, etc.; no relatives please)

* Address

* City

* State Example: NY

* ZIP Code Example: 12345

* Phone Number Example: 123-123-1234 x123

Email

Areas of Interest

All volunteers must commit to a minimum of one year of service, 25 hours of volunteer time, and be at least 16 years of age.

If you have any questions, please contact the Caring Partners Volunteer Program at 507.292.7210.

* Please check all boxes that match your area(s) of interest for volunteering at OMC.

Sewing & Crafts - Volunteers create comfort items including blankets, newborn holiday stockings, tummy pillows, hats, and other projects for patients. As well as making holiday tray favors for patients. Our patients enjoy receiving a special treat that brightens their day. Certain tray favors include origami, cards, and other crafts.
Beverage cart - Volunteers provide a caring, comforting, and cheerful atmosphere for OMC guests by serving complimentary refreshments to patients’ family members and visitors.
Gift Box (gift shop) - Volunteers welcome guests who are visiting or staying at the hospital, and assist in gift shop operations including stocking shelves, assisting customers to find the perfect gift, and working the cash register.
Special Events - Volunteers may contribute their time to OMC’s special events. Jobs differ with each event such as set up or break down, or making items for a sale.
Still Missed Garden Maintenance - Volunteers weed and groom the garden to sustain its beauty for families to enjoy in memory of a loved one.
Greeter - Volunteers assist patients/family members/visitors navigate OMC’s patient care building. This position may require pushing a wheelchair.
Hand Massage - Volunteers provide gentle and relaxing hand massages to patients, visitors, and staff.
Music Enrichment - Volunteers provide gentle and relaxing music* to patients, visitors, and staff. *NOTE: Only certain forms of music are acceptable.
Canine Companion - Certified therapy dogs, with their handlers, visit patients and their families offering comfort and companionship. Canine Companion teams must be certified through a nationally-accredited therapy dog organization.
Patient Companion - Patient companions provide one-on-one time with patients as needed. Volunteer may read, talk, play games, or just provide companionship to a patient. Patient companions are a valuable resource to many families that are unable to take time off to be in the hospital with family members who are patients.
Spirituality Volunteers -Volunteers offer spiritual support to patients, family members, caregivers, staff, and others. Certified clergy or lay persons may provide visits. Spiritual care services include, but are not limited to, communion, companionship, spiritual counseling, last rites, prayer, and baptism.

Interests, Talents, and Skills

Our volunteer programs’ success is due to the talents and skills that volunteers bring to Olmsted Medical Center.

Please list additional skills and interests that you could bring to Olmsted Medical Center as a volunteer. Examples may include: Art or music, Are you a good present wrapper, or are you crafty? Do you know how to do calligraphy?

Terms and Conditions

Confidentiality Statement
All information concerning patients, families, and employees must be held in strict confidence. There must be no discussion of patients’ names/cases or other information regarding their visit to an OMC clinic or hospital with any person.

* I have read and understand the above statement regarding confidentiality and agree to abide by it.

Yes
No

* I understand that any violation of OMC's confidentiality policy is grounds for immediate dismissal.

Yes
No

Support for Mission of Olmsted Medical Center

* I agree to support the mission, vision, and core values of Olmsted Medical Center through my volunteer service, and will adhere to the high standards for caring, quality, safety, and service established by Olmsted Medical Center.

Yes
No

Background & References

I acknowledge that OMC requires that a background check will be run on my application.

I acknowledge that OMC will check references listed.

Statement of Health

I acknowledge and agree that I am in good health and do not have any restrictions which may result in injury to myself or cause illness to others.

I acknowledge and understand that people with highly contagious diseases (spread by air) and moderately contagious diseases (spread from person-to-person through food or physical contact) must refrain from volunteering in any capacity until 24 hours after the last related symptom has disappeared.

I am able to work independently without supervision.

I am 16 years of age or older

Pounds I am restricted to lifting

* Please enter your initials to acknowledge that you have read and agree to the above statements

* Training

I acknowledge, and agree that before I can start volunteering, I must complete all necessary training and annual competencies.

Verification: *

BotDetect CAPTCHA ASP.NET Form Validation

Type the characters you see in the picture above into the field below.