Volunteer Application

If you are interested in volunteering please complete the form below:

  • I am applying as a: * Required
  • I

  • Name: * Required
  • Address: * Required
  • Preferred method of communication: * Required
  • Address: * Required
  • II

    What days and times are you available to volunteer:
  • Days: * Required
  • Times: * Required
    Please note: The Director of Volunteer Services, after consulting with the Volunteer President, has the right to dismiss a volunteer at any time for any reason, including inappropriate behavior, failure to follow Seton policies and procedures, and or unreasonable conflicts with patients, staff, or visitors.
  • III

    Please list your past and current work and volunteer experiences:
  • IV

  • V

  • VI

  • VII

    Please list 3 references other than relatives:
  • VIII

  • Volunteer Statement

    I hereby give permission for Seton Family of Hospitals to obtain information relating to my criminal history record through the Texas Department of Public Safety. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudication. I understand that this information will be used, in part, to determine my eligibility for a volunteer position with this organization. I also understand that as long as I remain a volunteer here, the criminal history records check may be repeated at any time. I understand that I will have an opportunity to review the criminal history and a procedure is available for clarification, if I dispute the record as received.

    I, the undersigned, do, for myself, my heirs, executors and administrators, hereby remise, release and forever discharge and agree to indemnify Seton Family of Hospitals, and each of their officers, directors, employees, and agents harmless from and against any and all causes of action, suits, liabilities, costs, debts, and sums of money, claims and demands whatsoever, and any and all related attorneys’ fees, court costs, and other expenses resulting from the investigation of my background in connection with my application to become a volunteer/staff member.
  • * Required
  • Criminal Background Checks Policy


    Out of concern for the well-being and safety of the patients and families we serve, Seton Family of Hospitals performs criminal background checks on adult and college volunteers. Seton Family of Hospitals deems it necessary and advisable as a matter of policy to reserve the right to disqualify and prohibit any person from serving as a volunteer, including one who has been arrested for, convicted of, been on probation for, or received deferred adjudication for any criminal conduct.The right to disqualify applies to any criminal conduct, regardless of whether (a) the criminal charges were subsequently dropped and the applicant was never prosecuted for the crime charged, or (b) the criminal charges resulted in a non-conviction such as probation, or (c) the criminal conviction was subsequently expunged from the applicant’s record as the result of appropriate legal proceedings.


    In order to screen prospective volunteers to identify those who have engaged in criminal conduct, Seton Family of Hospitals adopts the following procedure:
    1. Application: Each volunteer is required to complete an application.
    2. Personal Interview: Each prospective volunteer will undergo an interview with an appropriate staff or a Board Member of the Seton Family of Hospitals Volunteer Offices.
    3. Criminal Background Checks: Each prospective volunteer will give written consent for a criminal background check, conducted by the Volunteer Department, a service of the Seton Family of Hospitals. The form of authorization will be that prescribed by the Volunteer Department.
    Compliance with Requirements

    Seton Family of Hospitals will comply with the requirements of the Criminal Information Act, including the destruction of criminal history record information promptly after the determination of the suitability of the volunteer.
  • Enter Your Current Legal Name: * Required
  • Enter any previously used names below:
  • Have you ever been convicted of a crime and are there any legal charges pending against you?
  • This field is for validation purposes and should be left unchanged.