I agree that as a Junior Volunteer at Iowa Specialty Hospitals, I will participate in the orientation session, the weekly required volunteer hours, the health screening, and other required activities. I agree to adhere to the policy of patient confidentiality. I further understand that failure to participate in these activities and/or abide by these policies could result in my dismissal from the Junior Volunteer program.
As a hospital volunteer, I understand Iowa Specialty Hospitals has the right to terminate any volunteer status as a result of (a) failure to comply with hospital policies, rules, and regulations; (b) absences without prior notification; (c) unsatisfactory attitude, work, or appearance; or (d) any other circumstances which, in the judgment of Iowa Specialty Hospitals Administration, would make my continued services as a volunteer contrary to the best interests of the organization.
In addition: I certify that the statements made in this volunteer application are true and correct and have been given voluntarily. Any falsification or significant omission of information may result in my rejection or dismissal from participation in volunteering at Iowa Specialty Hospitals and clinics.