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Join Baptist Health Lexington's Volunteer Program: On-line Application

Baptist Health Lexington offers an on-line application form for adults who are interested in volunteering at the hospital.

All volunteers at Baptist Health Lexington are a part of the hospital's auxiliary.

Volunteer Application Form

Last Name:		First Name:
Email:
Address:

City:

State:

ZIP:

Home Phone: Work Phone: Best Time to Reach You:

Birthday:

How many hours per week would you like to volunteer?: 4 8 Other

Do you prefer mornings or afternoons?: Morning Afternoon Other

Which day(s) do you prefer?: Mon Tue Wed Thu Fri

Which area would you prefer?:

Does any of your family work at Baptist Health Lexington?:
If so, who?:

List Work Experience:
Special Skills:
List Volunteer Activities:

School:

Number of Years Completed:

Reference:		Phone:
Work Relationship:

Reference:		Phone:
Work Relationship:

Reference:		Phone:
Work Relationship:

Emergency Contact:
Home Phone:	Work Phone:
Relationship:

Please share why you are interested in volunteering, and why you chose Baptist Health Lexington:

How did you learn of the volunteer program at Baptist Health Lexington?

By submitting this application I am agreeing to the following if I am selected:

Abide by the volunteer rules
Work in the assigned departments of The Hospital
Purchase a uniform as prescribed by The Hospital
Follow handwashing and other hospital sanitation procedures.
Maintain the highest level of confidentiality possible by discussing patient and other hospital matters only as my volunteer work requires.