Volunteer Signup Form
Please note: Unfortunately, we cannot accommodate people attempting to fulfill court-ordered community service requirements. All fields with asterisk (*) are required.
Emergency Contact Information
Please list someone we can contact in case of an emergency.
(Important to complete for successful placement)
All applicants 18 years and older will undergo a background check.
I agree to comply with all policies and procedures and to support the mission of Tenet hospitals and to serve without remuneration for my services.
I agree that the statements made in this volunteer application are true and correct, and have been given voluntarily. I understand that this information may be disclosed to any party with legal and proper interest, and I release West Boca Medical Center and Tenet Health Corporation from any liability whatsoever for supplying such information.
I agree to abide by, accept, and perform my volunteer service within the traditions, standards and core values of West Boca Medical Center and to hold as confidential any and all information I learn in conjunction with my volunteer service.
I understand that I will not be paid and do not expect any form of remuneration for my service as a volunteer. I understand that I must complete 75 hours of service (Adult) or 40 hours of service (Volunteen) before any information regarding service hours is released or signed off on. I must attend an orientation and training and comply with all pre-service requirements including, but not limited to: a Tuberculin Skin Test and any other immunizations or screening deemed appropriate by West Boca Medical Center, provide two letters of reference from adult non relatives, and will be required to submit an annual Health Assessment, have an annual Tuberculin Skin Test or screening test for Tuberculosis, seasonal flu vaccine and attend annual re-education and any other continuing education which may be required. I will be required to give permission for a criminal background check, social security number check, and a credit check (if applicable).