SJMHS Volunteer Application - Saint Joseph Mercy Health System

Reference FormSaint Joseph Mercy Health System is recruiting volunteers. Many of ourprograms involve contact with patients. These situations require a volunteerwho is able to relate in a mature, responsible manner. The prospectivevolunteer must also be capable of working in the highly complex andstructured hospital environment.(Name)is applying for a volunteer position. To aid us inevaluating him/her as a prospective volunteer, we ask that you carefully answer the following questions to thebest of your knowledge and return this form to our office as soon as possible. The information you provide willbe held in strict confidence. Please use our questions as a guideline, feel free to attach additional comments ifyou wish.If you have any questions or if you would like further information about our program, please do not hesitate tocontact us. Thank you for your cooperation.1. How long have you know this applicant and in what capacity?2. How well do you know the applicant? (please circle one)Very Well Well Average Little Very Little3. How does the applicant interact with people, cultures or lifestyles that are different fromtheir own?Is open-minded?Is accepting?Is judgmental?Yes No Have not observed4. How does this person get along with others? Is s/he interested in helping other people?5. How well does s/he follow directions, accept rules and assignments?