I understand and agree that submitting this application form does not automatically register me as a Littleton Adventist Hospital volunteer, and that there will be certain qualifications I must meet, including the acceptance of established volunteer policies and procedures before I may begin volunteering.
A TB Test is required of all volunteers. If you have had a TB test within the current calendar year, you must provide verification at time of interview. If this document is not available, the hospital lab will do a FREE blood draw. If you are not immune, you may obtain a vaccination from your Primary Care Physician. Vaccination is not mandatory.
An annual Flu Shot is required of all volunteers, and no exceptions can be granted. Volunteers can receive a FREE flu shot at the hospital lab or provide verification from another medical facility.
A Background Screening Authorization is required before individuals are eligible to volunteer at Littleton Adventist Hospital. The information will be used for the sole purpose of identification.
By submitting this form, I indicate my commitment to volunteering on a weekly basis for a minimum of six (6) months. I do confirm that I will honor the confidentiality of all patients. At no time will I mention or discuss patients in the hospital or away from the hospital. I also confirm my understanding that I am not covered by the hospital's workman's compensation policy, and if I am injured, my personal health insurance will be solely responsible.
By submitting this form, I attest that the information I have provided on the form is true and accurate.