REQUIRED FOR VIRTUAL VOLUNTEERS ONLY PRE-SCREENING QUESTIONS (1-6)

 

Virtual opportunities require the ability to connect to web and phone applications to complete tasks. 

Please respond to the questions below so that we can determine if you meet the minimum requirements to be successful in a virtual (remote) opportunity. 

If you do not have access to these items, a virtual opportunity is not the best fit for you at this time. 

VOLUNTEER INFORMATION
EMERGENCY CONTACT INFORMATION
VOLUNTEER INFORMATION
*Are you a returning volunteer?
Please select the location of your choice. For a map of Harris Health Locations click here.
Please indicate your availability below:

Monday
Tuesday
Wednesday
Thursday
Friday
EDUCATION AND EMPLOYMENT INFORMATION
NAVIGATOR APPLICANT SHORT ANSWER 
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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