Sparrow Banner 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)
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
Nicotine-free Volunteer Policy Statement
To further our mission in providing quality, compassionate care to everyone, every time, effective April 1, 2012, Sparrow Health System will no longer offer volunteer placements to potential volunteers who use tobacco or nicotine products in any form. Sparrow promotes a healthy and safe environment for all Associates, Physicians, Volunteers, Patients and Visitors.

A nicotine user is any individual who uses nicotine products including, but not limited to, cigarettes, cigars, pipes and chewing tobacco. This policy also applies to e-cigarettes, which are regulated by the Food and Drug Administration as a nicotine product. Nicotine patches and gum are also included.
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.