Volunteer Application

Dear Prospective Volunteer:

Thank you for your interest in volunteering with Samuel U. Rodgers Health Center. The support we receive from volunteers enables us accomplish our mission of providing high quality, compassionate and affordable healthcare for all. Attached you will find the Samuel U. Rodgers Health Center volunteer application packet. Volunteers are required to complete an application, provide 3 references (2 personal & 1 professional), complete a background screening and be available for an interview. Please find the following information in your application packet. If anything is missing, please contact my office for replacement.

• Application Form
• Release of Authorization Form
• Volunteer Opportunities List
• Reference form with envelope

Please check and return the following pieces of completed information and return to my office at your convenience:

• Application Form
• Release of Authorization Form
• Volunteer Opportunities List
• Copies of licenses or certifications
• Copy of drivers license
• Social Security number

Please do not submit your application until all components have been fully completed. Feel free to contact, Michelle Gines Volunteer Services Coordinator by phone at 816.889.4856 or via email at mgines@rodgershealth.org if you have any questions or need additional information regarding the volunteer program.

After your completed application is processed, you will be invited to attend both an orientation and specific training for your area of interest. Again, thank you for you interest in volunteering with the Samuel U. Rodgers Health Center. I look forward to working with you soon.

Sincerely,

Michelle Gines
Volunteer Services & Special Projects Coordinator