Summer Junior Application (SL)

Thank you for your interest in Harris Health System's 2024 Summer Junior Volunteer Program. To provide the best possible experience for junior volunteers, patients and staff, we will only be able to accommodate approximately 100 new and returning junior volunteers. While we welcome applications through Friday, March 1, please understand that not everyone who applies can be accepted into the program.

New User Details

User ID

User ID (verify)

Password

Password (verify)

HARRIS HEALTH SYSTEM

Requested site: Please select ONE (1) preferred location: Ambulatory Care Services (Clinics), Ben Taub Hospital, or LBJ Hospital. All locations will be filled on a 'first come, first served' basis. If your preferred location is no longer available, you may be offered another option.

STUDENT CONTACT INFORMATION

*Are you a returning volunteer?

Please Select

Gender

Name prefix

* First Name

* Last Name

* Date of Birth

* Home Address

* City

* State

* Zip Code

* Primary Phone

* Student Email Address

* Social Security #

Shirt Size

Language

Additional languages

Ethnicity

Volunteer source

Please list friends or realtives employed by Harris Health:

If applicable, please provide us with the employee's facility or physical work location:

PARENT/GUARDIAN CONTACT INFORMATION

**Please Note: Parent/Guardian Consent Form is required and available to download HERE. You will be required to upload it at the end of this application.

* Parent / Legal Guardian Name

* Relationship to Junior Applicant

* Primary Phone

* Parent/Legal Guardian E-mail Address

* Home Address

* City

* State

* Zip Code

STUDENT EDUCATION INFORMATION

* High School

* Grade Entering in Fall

* GPA:

Career Plans/Interests:

Clubs/Teams or Memberships:

2024 JUNIOR PROGRAM INFORMATION

** Please Note: A Volunteer Agreement Form is required and is available to download above. You will be required to upload it at the end of this application

APPLICANT SHORT ANSWER: Each student is required to provide responses to the questions below.

* 1. Describe a situation in which you had to be creative. What did you find challenging or exciting about.

* 2. Is there anything else you would like us to know about you?

DOCUMENT UPLOADS

Please upload your REQUIRED DOCUMENTS below.

Please upload your Junior Volunteer Agreement & Parental Consent Forms:  This online application will not be processed without required agreement & consent forms.

Click here for Agreement & Parent Consent Form

* By checking this box, I understand and agree to the requirements of the Summer Junior Program. I have submitted all required documentation or will return to log-in and upload it. Failure to upload/receive required documentation by May 1, 2024 may disqualify this online application.

[ clear ]

Please use your mouse or your finger to sign: