Please complete this application form if you are interested in becoming a Baptist Health Doral Hospital Volunteer. Once you complete the form, check off I Agree, and click the Submit button.


Applicant Personal Information


Years in Miami-Dade County?


Emergency Contacts


List Community Affiliations & Other Volunteer Work

Please list all your community affiliations and other volunteer work you were involve in the past.



Availability

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



References


Worked at Baptist Health Doral Hospital

Have you ever worked for Baptist Health Doral Hospital or any other entity of Baptist Health? If yes, when and where.



Volunteered at BHSF

Have you ever volunteered for any BH Organizations?. If yes, when and where?



Family Affiliation at BH Doral Hospital

Does anyone in your family currently work at Baptist Health Doral Hospital? If yes, who?



Any Convictions

Have you ever been convicted or found guilty (including nolo contendere) for a felony offense? (Conviction

of a crime will not necessarily deny volunteering. A criminal background check is part of the volunteer

application process.)

If “YES,” please explain all convictions.



Volunteer Conditions

  1. I understand that a volunteer Baptist Health Doral Hospital is minimally required to work four (4) hours per week, and a maximum of sixteen (16) hours per week. Exceptions will be based on job assignments and determined by the Director or Manager of Volunteer Services.
  2. I understand that I must complete a tuberculosis evaluation annually, which may include a skin test.
  3. I understand that I must complete a Flu shot yearly during Flu season (10/01 to 03/31).
  4. I understand that I may be asked to volunteer days and/or hours other than those specified at the time of placement.
  5. I agree to abide by all the rules, and policies of the Volunteer Services Department/Baptist Health South Florida. I will attend orientation, complete health office requirements, and complete all necessary training. I will observe the Volunteer dress code, and the code of ethics, and uphold the Service Excellence Standards. I will keep all patient information confidential as required by HIPAA and Baptist Health policies.
  6. I certify that the information on this application is true and complete to the best of my knowledge. I understand that any misrepresentation or omission of facts on this application will be sufficient cause for disqualification of this application.
  7. I give permission for Baptist Health Doral Hospital to verify any information provided in this application and I authorize my past references or any other persons to answer all questions concerning my ability, character, reputation, and previous employment or volunteer record. I release all such persons from any liability or damages resulting from having furnished such information.