Ochsner Volunteer Application

Thank you for your interest in the Volunteer Program at Ochsner Health System. Many challenging and rewarding volunteer opportunities await you at one of our hospital campuses spread throughout the Southeast Louisiana Region.
  • Ochsner Medical Center - New Orleans
  • Ochsner Medical Center - Kenner
  • Ochsner Medical Center - Westbank
  • Ochsner Baptist Medical Center
  • Ochsner Medical Center - Baton Rouge
  • Ochsner St.Anne General Hospital
  • Ochsner Medical Center - North Shore
  • Ochsner's Slidell Clinc
  • Ochsner's Covington Clinc
  • Ochsner's Abita Clinc
  • Ochsner's Hammond Clinc

To become a part of the volunteer team, please complete the general information and click submit. The application will be forwarded directly to the Volunteer Services Office for consideration. Please allow 3-5 working days for processing. A member of the volunteer staff will then call you to schedule a one-on-one interview.


Fields marked with an asterisk (*) are required.

* Last Name:
* First Name:
* Middle Name:
* Address:
* City:
* State:
     * Zip:  
* Phone:
* Date of Birth:   (ex: mm/dd/yyyy)
* Email:

* Have you ever been convicted of a felony? Yes No

* Choose which facility you would like to offer your volunteer services, choose one:

Ochsner Medical Center - Jefferson Hwy.
Ochsner Medical Center - Kenner
Ochsner Medical Center - Westbank

Ochsner Baptist Medical Center
Ochsner Medical Center - Baton Rouge
Ochsner St. Anne General Hospital
Ochsner Medical Center - North Shore
Ochsner's Slidell Clinc
Ochsner's Covington Clinc
Ochsner's Abita Clinc
Ochsner's Hammond Clinc
Undecided

What is your area of interest? Patient Care
Clerical
Service

 


School Experience
 

Name of School:
Program:
Highest level of education:
Degree:
 

Work / Volunteer Experience (most recent first)
 

Employer/Agency 1:
Address:
Phone:
Position:
Start Date:   (ex: mm/dd/yyyy)
End Date:   (ex: mm/dd/yyyy)
Supervisor:
Reason for Leaving:
 
Employer/Agency 2:
Address:
Phone:
Position:
Start Date:   (ex: mm/dd/yyyy)
End Date:   (ex: mm/dd/yyyy)
Supervisor:
Reason for Leaving:

Volunteer Services References (Non-Family Member)

Ochsner Health System requires that every volunteer applicant provide favorable references prior to acceptance into the volunteer program.

* Name
* Address
* Phone
* Email
 
* Name
* Address
* Phone
* Email

Application Information Certification

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. I certify the above is true to the best of my knowledge.

* I agree Please disregard my application

* In case of
emergency, notify:
* Emergency Contact Phone: