Instructions can be added here to assist volunteers in filling out a form.
Volunteer Registration

Home Address

Emergency Contacts
Emergency Contact 1
Emergency Contact 2

Work Status

Previous Volunteer Experience

Describe your Work Experience


Friend / Relative - employed by AHWC


What days do you prefer to voulnteer?
Which of the following 4 hour shifts do you prefer?

(copy)


Reference Checks
Reference 1
Reference 2

PURPOSE OF THE VOLUNTEER PROGRAM

Volunteers are partners with staff, patients and the community. The purpose of the volunteer program is to provide additional services, hospitality and assistance that will enhance the overall experience and satisfaction of patients, visitors and hospital staff. 

 

VOLUNTEER STATEMENT OF UNDERSTANDING

 

* I certify that all of the information provided on this application is true, correct and complete. If I provide false, misleading or incomplete information I will disqualify myself, regardless of date of discovery.

 

* I agree to the required time commitment of 6 months/100 hours of service. I understand that dismissal from the volunteer program may result from poor attendance, lack of punctuality or inappropriate attitude or other behaviors that are inconsistent with the mission and values of AdventHealth Wesley Chapel.

 

* I agree to submit to a health screening (drug, cotinine, and TB testing) which is a requirement of volunteering at AHWC. There is no cost.

 

* I agree to submit to a background check, which is a requirement of volunteering at AHWC. There is no cost.

 

* I understand that I will be required to comply with annual mandatory Refresher Training.

 

* I understand that I will also be required to have an annual TB screening and flu vaccine provided at no cost by AHWC.

 

* I agree to hold all information related to patients, staff and visitors in the strictest of confidence.

 

* I agree to abide by the policies and procedures set forth by AdventHealth Wesley Chapel and Volunteer Services and will further uphold the Standards of Excellence of AHWC.

 

* I understand AHWC is a tobacco/nicotine free organization and that all AHWC campuses are tobacco/nicotine free facilities.

I agree to comply with this policy. I understand that I must be tobacco and nicotine free for 6 months prior to submitting this application. 

 

* I agree to notify my department supervisor and the Volunteer Coordinator in advance if I have scheduling changes, if I cannot report for duty, or if I am going to be absent for an extended period of time. I understand that two (2) unreported absences will constitute termination from the Volunteer Program.

 

* I will serve AHWC with integrity and a compassionate, service-minded attitude.