*References (2 Required)
Please click here to download the reference form. Please return the completed form to the location of your preference.
*Background Check (18+)
MO Workers Safe Child Registry (Crittenton Applicants Only)
Please click here to download the form. Please return the completed form to Crittenton Children's Center.
KS Safe Child Registry (Crittenton Applicants Who Are Kansas Residents Only)
Check the following to indicate your understanding:
FOR YOUTH APPLICANTS ONLY: In signing this document, I give permission for the youth named on this profile to participate in the SLHS volunteer program. I verify the youth is 15-17 years of age and the information on this profile is correct. I understand that all of the profile packet's information will be kept confidental and is for office or emergency use only.
I am responsible for the purchase of a uniform. I take responsiblity for the youth's transportation, prompt arrival and departure for the scheduled shift. I understand it is the responsibility of the youth to notify Volunteer Services of changes.
I will give permission for the youth to recieve a TB blood test and Influenza vaccination administered by SLHS (no cost). I am responsible for the provision of a completed Medical Statement. In the event of illness or unjury and I am not avilable, I give permission for the youth to recieve appropriate emergency care.
I understand that effective August 1, 2011, Saint Luke's Health System no longer hires individuals who use tobacco products. By submitting this Application for Employement, I represent and agree (1) I do not currently use any tobacco product (including eCigarettes and vaping pens that contain nicotine), and (2) if offered employment by the System, I will not during that employment (including the timeframe from conditional offer to actual hire) use any tobacco product. I understand that use of a tobacco product of any kind during employement with the System is grounds for immediate termination of employment.
Saint Luke's Health System is an Equal Opportunity Employer. Services are provided on a nondiscriminatory basis.