VOLUNTEER INFORMATION 
EMERGENCY CONTACT INFORMATION
VOLUNTEER INFORMATION
*Are you a returning volunteer?
Please select where you'd like to volunteer. For a map of Harris Health Locations click here.
Please indicate your availability below:
Please indicate your best availabilty:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
EDUCATION AND EMPLOYMENT INFORMATION
PHOTO RELEASE:
As a Harris Health volunteer, I realize that my image may be taken at hospital celebrations and other media events. I give my permission to the Harris Health System Director of Volunteer & Guest Services and the Administrative Director of Corporate Communications to use my image in any appropriate and related materials that will promote or otherwise publicize the Volunteer & Guest Services department or Harris Health.*
BACKGROUND CHECK AUTHORIZATION:
Choose if you have ever been convicted of or been on defferred adjudication for, or are you now either awaiting trial for or on deferred adjudication for, a felony or misdemeanor.
CONFIDENTIALITY AGREEMENT:
I agree to use confidential or proprietary information only as needed to perform my volunteer duties.  This means I will not access confidential or proprietary information without legitimate need/permission, nor in any way divulge, copy, release, sell, lend, revise, alter, or destroy any confidential or proprietary information belonging to Harris Health System.  I understand that I will be automatically dismissed as a volunteer if I do not respect my responsibility for maintaining confidentiality.

 

If accepted as a Harris Health System Volunteer, I agree to the following:

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