CAREFULLY READ THE ENTIRE APPLICATION. ENSURE YOU MEET THE ELIGIBILITY REQUIREMENTS.


DEPARTMENT DESCRIPTIONS ARE AVAILABLE ON THE VOLUNTEER HOMEPAGE.


Program Eligibility

• All volunteer candidates must meet all program requirements listed.

• All volunteers must complete the mandatory orientation program.

• Every applicant must be able to provide Social Security number at the time of interview to complete the information necessary to conduct a background check and to volunteer.

• Each volunteer will be given the opportunity to shadow in a department before making a commitment and will be provided training for that assignment. You will be provided a volunteer "mentor" to guide you before you take a solo shift.



Health Requirements

CANDIDATES MUST MEET WITH THE ASSOCIATE HEALTH NURSE AND MEET THE REQUIREMENTS LISTED BELOW


• Candidates must show proof of immunity against Measles, Mumps, Rubella and Rubeola (MMR two injections).

• Immunity to Chicken Pox (Varicella two injections).

• Each volunteer is required to have a current "2-Step" TB test (2 injections) within the last 3 months. The two (2) injections and two (2) readings must be COMPLETED 7 – 20 days apart. Single step TB tests are not acceptable. This process takes a minimum of 9 days to complete.

• In addition, all volunteers are required to provide proof of a flu vaccine injection during flu season (you will be notified when you have to submit documentation).




Name and address

Please type your local address



Demographic Information

Please provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.



Work Experience


Volunteer and Community Service Experience


Professional References


Availability

Please indicate the days and times you are usually available to volunteer.



Emergency Contact

Please include your emergency contact



Physicians Information

Please include your physicians information



What would you like to get out of this experience?


I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete. I understand that any false or misleading representations or omissions may disqualify me from further consideration for a volunteer position and may result in discharge even if discovered at a later date. I hereby authorize persons, schools, my current employer (if applicable) and previous employers and organizations named in this application (and accompanying resume, if any) to provide this facility and all affiliates with any relevant information regarding a volunteer decision and I release all such persons from any liability regarding the provision or use of such information.