Sparrow Banner UM Health-Sparrow Teen Application
Please note that the Teen Program is available to individuals 16-17 years old AND who have completed the 10 Grade.
Teen Volunteer Contact Information
Parent or Guardian's Information
Secondary Emergency Contact (If first cannot be reached) - (XXX)XXX-XXXX
Past volunteer Experience
Employment History

Personal Reference Check 

Please provide the name and e-mail address of the individual that you would like us to contact for your personal reference. They will recieve an e-mail they will need to fill out. 

Extra Curricular Activities

Tobacco & Smoke Free Health System Policy

Sparrow promotes a healthy and safe environment for all Associates, Physicians, Volunteers, Patients and Visitors. It is Sparrow Health System's policy to provide a tobacco free workplace and environment of care by prohibiting smoking and the use of tobacco products on its grounds and properties, and in its facilities. Smoking and tobacco usage are prohibited in all buildings owned and leased; including company owned vehicles and personal vehicles parked on Sparrow Health System's property. This policy includes the use of electronic cigarettes (otherwise known as e-cigarettes) as they are regulated by the U.S. Food and Drug Administration as a tobacco product or vaporizer pens. All Caregivers, Physicians, Volunteers and Visitors are required to comply with the Tobacco Free policy. This is in compliance with regulations and the directives of the Joint Commission standards.


Thank you for your interest in Sparrow Volunteer Service's Teen Program. You will recieve an e-mail conformation immediatly following the submission of this application.