Campus Life & Programs Activities & Events Campus Programs Testimonials About Us Board of Directors Executive Team Foundation Legacies for Life The Leadership Council NLHF Board of Trustees Make a Gift Guild Volunteering FAQs Careers Job Postings Benefits & Career Growth Employee Spotlight News & Blog Contact Us Leave Us a Review Volunteer Application Form Niagara Lutheran Health System 5949 – 5979 Broadway, Lancaster, NY 14086, Fax: (716) 206-0484 VOLUNTEER APPLICATION FORMWhich facility/facilities are you interested in volunteering at? GF TERRACE GHRC GF MANOR/COURT FOUNDATION Name* First Last Date:* Date Format: MM slash DD slash YYYY Address: Street Address City/State/Zip:Home Number:Cell Number:Email Address: Other Contact:Are you 16 years of age or older? Yes No 1. Which day(s) of the week would be the most convenient for you to volunteer? Mon AM Mon PM Tues AM Tues PM Wed AM Wed PM Thurs AM Thurs PM Fri AM Fri PM Sat AM Sat PM Sun AM Sun PM 2. Do you have any physical or medical limitations that would affect your ability to complete certain tasks? Yes No Please explain:3. Please indicate areas you are most interested in: Filing Visiting, reading and writing for residents Computer work Transporting residents for therapy Assisting with worship services Transporting residents to activities Assisting the hairdresser Sewing/mending Assisting in resident activities Sorting/distributing mail Gift shop/cafe Other (please indicate details):4. If you listed “Assisting in resident activities," please indicate which activities you would prefer: Evening activities Entertainment programs Discussion group Outings Morning coffee and doughnuts Bingo Residents’ restaurant Worship services 5. Do you have any volunteer or work experience in the health care field? Yes No Please List:6. List any hobbies, special interests or skills you have or would like to share with our residents:7. Are any of the residents, volunteers or staff members friends or relatives of yours? Yes No If so, please list them and their relationship to you.8. In the event of an emergency, please notify:Name:Phone:Address: Street Address Relationship:9. Have you ever been convicted of a crime? Yes No If yes, please give details.10. Comments:11. Would you please share your religious affiliation with us?Name of Church:Religion:Address: Street Address City/State/Zip:Priest/Minister/Rabbi:Thank you! We look forward to having you join us!As a volunteer you are eligible for: Free meals from the employee cafeteria if you work during meal times (only at GHRC) Free flu shots when available Your name badge Invitation to the volunteer appreciation luncheon A yearly check-up and PPD test The opportunity to join the Niagara Lutheran Health System Guild (minimal annual donation) The fulfillment of helping someone else schedule a tour visit foundation page donate today admission application schedule a tour donate today admission application An affiliate of theNiagara LutheranHealth System 716.684.8400 5959 BroadwayLancaster, NY 14086 Niagara Lutheran Health Foundation Click the button below for more information visit foundation page What's Happening: leave us a review Contact Us NameEmail MessageCAPTCHA Follow Us FollowFollowFollowFollow