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Please list one person that can speak to your current abilities, skills and talents for volunteering (not a relative).
I affirm that the information provided in this application is true and complete to the best of my knowledge. I understand that volunteer applicants over the age of 18 will undergo a criminal background check. I consent to take the pre-volunteer physical health screening, and any such future screening(s) as may be required by Palos Health. I agree to follow hospital policies and procedures for volunteers as outlined at the volunteer orientation. I understand that volunteers are not covered by Worker’s Compensation and that I am responsible for maintaining my own health insurance. I voluntarily offer my services with a clear understanding that there will be no monetary compensation and that volunteering does not lead to employment.
I understand and agree that submitting this application form does not automatically register me as a Palos Health volunteer and that there may be certain qualifications I must meet including the acceptance of established volunteer policies and procedures before I begin volunteering.
Parent signature required if minor
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