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Emergency Dept. Volunteer Application

Emergency Department ("ED") volunteers have the ability to enhance patients and visitors experience in the ED setting. As a volunteer, you are able to gain valuable experiences working closely with ED staff and assisting with non-medical patient care. In addition to gaining personal experiences the volunteer has the satisfaction of helping out a diverse community and giving back. Volunteering in the ED will increase confidence in a medical environment and provide vital experience for future medical professionals. Please complete the following Emergency Department Volunteer application and a member of our team will be in touch with you are soon as possible. 

General Information
Education/Experience
Skills
Volunteer Availability
References
Reference 1:
Reference 2:
Reference 3:
What prompted you to inquire about our volunteer program?
Training/Health Requirements

Once your application is reviewed, the Patient Services Representative Supervisor will schedule an appointment to meet with you at the hospital to discuss our program as well as get to know you. 

Requirements after this appointment will include a background check, blood test, PPD (TB skin test), and orientation to our hospital to include the rules that guide us to ensure patient privacy and overall good care. The Health Nurse will require proof that you have received certain immunizations (mumps, rubella, etc.).

These requirements are provided free of charge by the Volunteer Services at Onslow Memorial Hospital. 

Volunteer Agreement

The above information is accurate and correct to the best of my knowledge. The volunteer service department is not obligated to provide placement, nor am I obligated to accept the position offered. Opportunities for volunteers are provided without regard to religion, creed, race, national origin, age or sex. I authorize investigation of all statements contained in this application.

I understand that background checks are required of all new applicants.

This form cannot be saved. Once the below "Submit" button has been clicked, I have agreed to all the above and created an electronic signature.