- Applicants must be at least 14 years old and have successfully completed 8th grade
- Satisfactory recommendation from your school counselor and/or other school representative
- Properly completed applications, parental permission forms and medical history form (including a physicians' signature)
- A personal interview with director or coordinator in volunteer services department (individual schedules will be discussed at this time)
- Ability to fulfill the commitment of at least one shift per week
- Serve a minimum of 60 hours in a twelve-month period commencing on your volunteer orientation date ( no service hours will be released to you or to your school until 60 hours has been completed)
- Ability to ensure adequate transportation to and from the hospital
- Complete necessary TB testing requirements
- A clear Pennsylvania Criminal History check
- Neatness in appearance/cleanliness and strict adherence to the volunteer dress code including the purchase of a uniform
- Mandatory completion of volunteer orientation/training
- Keen interest in helping in the hospital
Due to the substantial investment of time devoted to your orientation, training, and screening, please consider carefully whether you can commit to the minimum service requirements. When you agree to participate as a teen volunteer, it is assumed you will arrange your other activities so they will not conflict with your scheduled hospital shift.
I have read and agree to all the requirements for volunteering at LVHN as outlined.
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Date of Birth |
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| First Name |
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M.I. |
| Last Name |
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| Address |
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| Address |
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Zip
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Have
you participated in one of the teen educational
opportunities through Lehigh Valley Health Network
within the past year, i.e. Nurse Camp, Shadowing
Program, etc. If so, which one and when?
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School you
are attending:
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Expected year
of high school graduation:
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Hobbies
or special interests:
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Why
are you interested in volunteering at LVH?
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Type
of volunteer work preferred:
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Are
you interested in Healthcare as a career?
Yes
No
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Referred
by:
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Are
you volunteering to fulfill a school/religious
requirement, i.e. mandatory community service,
confirmation, graduation requirement, etc.
Yes
No
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If
yes, how many hours do you need to complete?
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Relatives
or friends who volunteer or are employed at LVH or
LVH-Muhlenberg:
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In
case of an emergency, please notify:
Phone:
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Mother's
full name:
Place of employment:
Phone:
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Father's
full name:
Place of employment:
Phone:
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