Please complete this application form if you are interested in becoming a Tanner Health System volunteer. Once you complete the form, click the submit button at the bottom.


Personal Information

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Emergency Contact


Education


Volunteer Interest


References


Demographic Information

All information in this section is optional.



Applicant Acknowledgement and Authorization


The CDC recommends that all healthcare workers and volunteers receive the influenza vaccination each year. This (flu shot) will be required for all volunteers. Flu shots will be available free of charge at all Tanner Health System hospitals beginning in late October. I understand that I must have documentation of a current flu shot to volunteer at Tanner.


I understand I must provide documentation of my immunizations if born after 1957 based on CDC recommendations.


I hereby certify that all of the information provided by me in this application (or any accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts will be cause for denial or immediate cessation of volunteer placement regardless of the timing or circumstances of discovery.


I agree to abide by the policies and procedures of THS and the Volunteer Services Department at all times and to support the organizations commitment to operate in compliance with all applicable laws. I understand that as a Volunteer I may not accept payment for my services and that I will incur the cost of uniforms and transportation and dues.


I understand that submission of an application does not guarantee volunteer placement. I further understand that, should a volunteer position be extended to me that it is at will, and may be terminated with or without cause or notice at any time, at the option of the organization or myself. I understand that serving as a volunteer in no way guarantees any future employment by Tanner Health System. If I take a leave of absence, I understand that my position might no longer be available, and it might be necessary to go through orientation again if the absence is of 6 months duration or longer.


I understand that as a volunteer I have a responsibility to fulfill my duties so that Tanner Health System and my fellow volunteers can depend on me to be there as scheduled and needed. I understand when I dont do my part that it puts an unfair strain on the other volunteers. I understand that if I am gone, I will need to exhaust every resource to find a substitute. Since the hospital is a year round resource for the area, I understand I have a responsibility to serve all year long. When I do go on vacation, I will work with the staffing person to ensure that my duties are covered. One of the privileges of volunteering is that I have a chance to make a difference in my community. I understand that my community and this hospital will depend on me to fulfill my obligations.


I understand that all information concerning a patient is strictly confidential. Volunteers, as well as hospital employees, have an obligation to refrain from discussing any information to a patients illness or treatment except as related to performance of a volunteer assignment.