Welcome Baylor Scott and White Medical Center- Garland Volunteers

Fill out this application form if you wish to volunteer at Baylor Scott and White Medical Center-Garland

Baylor Scott and White Medical Center- Garland - Volunteer Services Application

Personal Information
First Name
Last Name
Home Address
City
State
Zip Code
Home Phone
Mobile Phone
Work phone
Email
Current Employer or School

Emergency Contact Information
In case of emergency notify
Relationship to you
Home Phone
Work phone
Mobile Phone

References and Screening
Adult Applicant Non-Relative References
Name
Phone Number
Email
Address
City
State
Zip
Name
Email
Phone Number
Address
City
State
Zip
Have you ever been convicted of, been given probation or deferred adjudication in lieu of sentencing, pled no contest for any offense other than minor traffic violations or are you charged with an unresolved criminal charge? (Are you charged with a crime that has not yet resulted in a plea of guilty, court trial, deferred adjudication or dropping of the charge?)
Yes
No
If yes, please explain
Have you been involved in healthcare legal action in the past four years?
Yes
No
If yes, please explain
Do you currently use nicotine products including, but not limited to, cigarettes, ecigarettes, cigars, pipes, chewing tobacco, nicotine patches or gum?
Yes
No

Background Information
Previous work and/or volunteer experience
Language(s) spoken with proficiency other than English
Skills
How did you find out about our volunteer program?
Reason for volunteering
Type of service that interests you:
Patient Area
Guest Services
Clerical
Specialty Programs*
Hospital Elder Life Program
*To be considered for one of our specialty volunteer programs, check all that apply.
I am a:
Cancer Survivor
Pet Therapy Escort
Retired Nurse
Volunteer Advisor

Available Times
Please check the times you would be available for volunteer assignments.
Adult Volunteers
Day(s) Prefered:
Hours Prefered (may vary):
Sunday
Early Morning
Morning
Monday
Afternoon
Tuesday
Evening
Wednesday
Thursday
Friday
Saturday
Once accepted into the volunteer program, I agree to give regular and dependable service to Baylor Medical Center at Garland.
The application process includes a personal interview, checking of references, submitting to a criminal background check, completing a two-step TB screening, a drug and nicotine screening, and attending general volunteer orientation. Upon acceptance, you will receive training to enable you to efficiently perform your duties as a volunteer. It is expected that volunteers will comply with the hospital and department policies and guidelines.