The responses given above are true and correct. I have not withheld any fact which might adversely affect my application and I understand that any omission of fact or any false or misleading statements will be considered just cause for not being offered a volunteer role at Parkland Health Center.
I agree that former employers and personal references may furnish information about my character and qualifications and I release said persons from any liability regarding the provision or use of such information.
I further understand and agree that a criminal background and abuse check will be conducted on me, previous to serving in a volunteer capacity. I also understand and agree to submit to a urine drug screen process; to view mandatory infection control and safety videos; and to abide by hospital policies and procedures, including HIPAA regulations (which indicate I am not free to discuss ANY patient information I hear or see with anyone).
I agree to read my orientation packet and participate in volunteer education day as requested.
I agree to complete the required paperwork if my application is accepted.
If I have a concern about my auxiliary service, I should discuss the concern with an auxiliary officer or with the Human Resources Director.
I understand I must be physically fit to be a volunteer, able to ambulate on my own accord without use of a walker or cane. I further understand that if my physical condition declines, I may not be able to continue to work as a volunteer.
I understand there is an annual dues fee of $2.00 to be an auxiliary member. The dues fee is payable before the auxiliary member is allowed to volunteer and should be submitted in check form to: Auxiliary Treasurer, 1101 West Liberty, Farmington, Missouri 63640.