Student/Volunteer Application

Thank you for your interest in serving with PCHS!

**This application is for adult student/volunteers only. PCHS’s Youth Volunteer Program application can be found here: here**

Directions: After we receive your online application, PCHS’s Human Resources Department will send you a packet to complete and return to HRAssistants@pchsweb.org. Applications must be received no later than three weeks prior to your desired start date to allow sufficient time for a background check to be completed.
Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Application is for*

VolunteerStudent
Areas I would like to help

MedicalDentalFinanceOperationsOther
I would like to volunteer on (select all that apply)

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Times available

MorningsAfternoonsAll dayOther
How did you hear about us?*
Name of School *
Program*
Name of School Contact*

First NameLast Name
School Contact Email*
example@example.com
School Contact Phone Number*
Please enter a valid phone number.
Waiver of Liability and Release of Claims

By submitting this form, and in consideration of the opportunity to participate in PCHS’s Student/Volunteer Program, you and, as applicable, your heirs, successors, and assigns (collectively, “Releasors”) agree to fully and unconditionally release, waive, and discharge all claims, now and hereafter known, against PCHS and its officers, employees, directors, and agents (collectively, “Releasees”), arising out of or related to your participation in the program. This waiver and release shall apply without regard for the cause, type, or forum of any such claims, and shall apply to the maximum extent permitted by applicable law. Releasors further agree not to make or bring any such claims against Releasees and to forever release and discharge them from any liability in connection with such claims.
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