THE APPLICATION BELOW IS FOR HIGH SCHOOL STUDENTS WHO ARE 16 to 17 YEARS OLD AND WOULD LIKE TO VOLUNTEER FOR NOVANT HEALTH UVA HEALTH SYSTEM ON A YEAR-ROUND BASIS.



The Junior Volunteer program consists of a one year three-hour per week commitment. Once you complete this application, click the submit button at the bottom. Please note that a submitted application does not guarantee acceptance in the program.


IMPORTANT: All volunteers are required to complete an annual TB questionnaire, annual mandatory education and have an annual influenza vaccination as a condition of volunteering.




NAME AND CONTACT INFORMATION:


EMAIL:

IMPORTANT: We utilize email regularly. Please be sure to list an email address that you will check often and double-check that it is typed correctly. We stress to our volunteers that they demonstrate excellent communication; failure to do so, may result in the applicant's suspension from service.



SCHOOL INFORMATION AND EXPECTED GRADUATION:

What school do you currently attend? Also, list the grade level and expected year of graduation.



PARENT(S) OR LEGAL GUARDIANS:

Please Provide Your Emergency Contact Information: Please list two people who are able to make decisions on your behalf:



VOLUNTEER/WORK EXPERIENCE:

Describe other volunteer organizations and positions you may have held or currently hold and any previous or current employment. List organizations in which you are a member and include any skills and talents you may want to utilize as a volunteer.



AVAILABILITY AND INTEREST:

Please indicate which location(s) you would prefer: Prince William Medical Center, Haymarket Medical Center, Caton Merchant House which is our assisted living facility in Manassas, and Novant Health Auxiliary Aubergine Thrift Store in Old Town Manassas along with the Days and Times you are usually available to volunteer. We will do our best to match your availability, as well as, your interests and talents with the volunteer opportunities that are currently available.



TYPES OF SERVICE:

Please describe the type of volunteer service you are interested in providing (ie.patient/visitor service, clinical support, office/behind-the-scenes support, retail). If you are interested in being considered for a specific service area, please list that area. If you were referred to apply to a specific department, please list the department name and the name of the Novant Health UVA Health System team member who referred you.



SPECIAL CONSIDERATIONS:

Our goal is to make the best possible match between your interests and abilities and our available volunteer opportunities. Please list any health concerns that we need to keep in mind while considering certain volunteer positions (hearing, visual acuity, mobility issues, etc.)


Please describe any current or anticipated situations that may affect your volunteer service or availability (school, travel, care of others, etc.)



THE MISSION OF NOVANT HEALTH/UVA HEALTH SYSTEM:

**REQUIRED** Compose an essay with a MINIMUM OF 200 WORDS. It may be helpful to compose your essay on your computer so that you can easily read it and edit it. When you are satisfied with the content, copy the text into this box. The box will expand to accommodate your essay.


The Mission of Novant Health UVA Health System is to improve the health of communities one person at a time by delivering a remarkable patient experience in every dimension, every time. The Services Standards that we employ to create a remarkable patient experience are:

-Know me: I will be fully present and attentive when I am with you.

-Respect me: I will honor you as an individual.

-Care about me: I will be there for you in the way that you need.

-Delight me: I will think ahead and go the extra mile for you.


As a volunteer how do you believe you can help achieve this mission and which of the four core service standards do you believe is most important and why?


PLEASE NOTE: When reviewing applications, a great deal of consideration is based on your essay so please give serious thought to what you would like to share. An interest in the medical field can be referenced, however, we prefer to know more about how you plan to contribute to the program to accurately make an assessment.



HOW DID YOU HEAR ABOUT US?

How did you hear about the Novant Health UVA Health System Auxiliary Volunteer Services Program? If you were referred by a current volunteer, employee, or physician please provide their name so we can thank them.



REFERENCES:

After you have submitted your application, you need to return to the volunteer webpage and send the "reference link" to two of your designated references. Please provide at least one school-related reference (school administrator, teacher, coach, adult mentor, etc.) Please do not provide relatives or close friends as references. References should be able to provide an objective description of your work ethic. Once your references are received, we will be contacting you to schedule an interview.



PARENTAL CONSENT:

I hereby provide permission for my child to be considered for Novant Health UVA Health System's Junior Volunteer program. I understand the volunteer responsibilities of my child and the requirement of a three-hour shift, one time per week year-long commitment along with our medical and educational requirements. I acknowledge and understand that my child will be exposed to a wide variety of patient experiences. I certify that I will help my child comply with the policies and procedures of the Novant Health Auxiliary in conjunction with the policies and procedures of Novant Health UVA Health System. I understand that if my child fails to comply with these rules and regulations, it will result in termination of service. I certify that my child is at least 16 years of age or older by the date specified in the "Date of Birth" section of the application (above).


I further consent for pictures of my child to be used for Novant Health UVA Health System purposes; such as, but are not limited to, bulletin boards or on hospital social media sites to promote volunteerism.


PARENT: Please type your name in the box below to indicate your consent.



VOLUNTEER SERVICES AGREEMENT TO TERMS:

I verify that I have read and understood all information on the application, and that all information here is true and accurate. I understand that acceptance into the program is not guaranteed. If accepted, I promise to follow in good faith the policies and procedures of the Novant Health Auxiliary in conjunction with the policies and procedures of Novant Health UVA Health System.


IMPORTANT: Please double check that your application is complete. Your application will be submitted when you click the 'Continue' button below. Once you click the 'Continue' button you will not be able to go back to the application to make any changes.