Renown Health 2023 High School Volunteer Program
VOLUNTEER TIME REQUIREMENTS AND AVAILABILITY The High School Summer Program will operate during the hours of Monday-Friday 10am-2pm
ELIGIBILITY Are you a United States citizen or an alien authorized to work in the U . S .? � Yes � No Have you previously been an employee or volunteer for the Renown Health System ? � Yes � No If yes , please state the organization , assignment , dates , status ( employee or volunteer ) and name while employed : _____________________________________________________________________________________ Have you ever been convicted or found guilty by any court of a felony offense or any gross misdemeanor or simple misdemeanor offense other than a minor traffic offense ? □ Yes □ No (“ A conviction shall include a plea , verdict or finding of guilty …” Labor Code 432.7 ) A conviction will not necessarily disqualify an individual from the volunteer program . Driving under the influence of alcohol and / or drugs and reckless driving must be disclosed .
If Yes , please state the nature of each offense , the date of conviction and the disposition : _____________________________________________________________________________________
___ ___ ___
___ ___ ___
As a Renown Health volunteer I agree to uphold the values of the organization by providing a high standard of quality service to our patients and staff . I agree to hold absolutely confidential all information that I may obtain directly or indirectly concerning patients , doctors , or personnel . I can be depended on to work my assigned shift and will call , in advance , if not able to fulfill that obligation . Any no-call no-shows will result in termination from the program . I understand that excessive absenteeism will result in termination from the program I will wear the proper uniform as outlined in the orientation I understand that I will be expected , before placement , to complete the volunteer orientation and required health screening .
ACKNOWLEDGEMENT AND AGREEMENT :
I acknowledge that I have read and understand the statements above . The information provided in this application is true in all respects without any willful omissions . I authorize Renown Health System to obtain a background check and a personal reference . I understand that if this application is false in any way I will be dismissed without notice regardless of when the false information is discovered .
Signature :_______________________________________________________ Date :________________________________
The organization is not obligated to provide a placement , nor are you obligated to accept the position offered . A volunteer position does not constitute an employee-employer relationship with the medical center .
Opportunities for volunteers are provided without regard to color , race , religion , age , creed , national origin , sex , disability , veteran or marital status . In accordance with the Immigration Reform and Control Act of