Thank you for your interest in the Patient and Family Advisory Council at Covenant HealthCare! Please allow yourself approximately 15 minutes to accurately and thoroughly complete this volunteer application. If you have trouble completing this application, please contact Volunteer Services, 989.583.6040.

If you have previously volunteered for Covenant HealthCare, please contact us prior to submitting an application.

All Patient and Family Advisory Counsel members will be required to show proof of COVID-19 vaccine or complete a vaccine exemption form. After you complete your application, you will receive an email with information on how to submit proof of vaccination or begin the exemption process. 

New User Details
Applicant Information
Emergency Contact Information
Employment History
Please list information for your two most recent employers.
Skills and Scheduling
Additional Information
Authorization and Signature