Opportunities for volunteers are provided without regard to religion, creed, race, national origin, age or sex. This application is submitted with understanding that a health assessment, (at Ochsner) must be completed prior to commencing volunteering as a condition to start. I certify that the answers given to the foregoing statements are correct and without omission. I authorize the company to investigate the foregoing; and my former employers from any liability for damage, which may result from any such investigation. If upon investigation, anything contained in this application is found to be untrue, I understand I will be subject to dismissal at any time during the period of volunteering. Your signature indicates your approval for us to check references. The Volunteer Service department is not obligated to provide a placement, nor are you obligated to accept the position offered. I understand that if accepted, I will contribute in excess of 50 hours in a timely manner. I also understand that I will not be paid for my service.
2. Where would you like to work?
This form does not encrypt your message and it is not an appropriate means of communicating confidential information. Do not use this form to send personal information, such as account numbers, insurance information or social security numbers. We do not provide medical advice through this form.