Volunteer Application

QUALIFYING QUESTIONS:


Privacy Policy:


All personal information you voluntarily submit to Davis Health System when applying for a position via its Web site is subject to Davis Health System Privacy Statement. The type of personal information collected via Davis Health System Web site relates to Davis Health System employment opportunities and includes, without limitation, personal information such as your name, employment history, education, skills and job preferences. By applying for a position through this Web site, you agree that Davis Health System may use information submitted by you for recruitment purposes. Such information will not be shared with third parties unless legally required.:


Click here to acknowledge:




Standards of Behavior:


Click here to read DHS Standards of Behavior.:


As a volunteer for Davis Health System you will be required to accept and abide by our Standards of Behavior. Are you willing to abide by the standards?:




Background Check & PPD Testing:


If considered for a position with Davis Health System I agree to a Criminal Background Check as a condition of volunteering.:




As a condition of volunteering with Davis Health System I agree to a Tuberculosis Skin Test (PPD Skin Test).:




As a condition of volunteering with Davis Health System I agree to an Influenza Vaccination (Flu Shot).:




VOLUNTEER APPLICATION:


Name:

Address:

City:

State:

Zip:

SS#:

Birth Date:

Email Address:

Phone:

Cell Phone:

Have you ever lived in any other state:




If so, please list:

Emergency Contact:


Name:

Relationship:

Address:

City:

State:

Zip:

Phone (Home):

Phone (Work):

Current Employment (If applicable):


Company:

Phone:

Position:

Supervisor:

May we contact if necessary:




Prior Work Experience (Jobs/Skills):


Prior Volunteer Experience:


1. Have you ever been convicted of a crime?:




If yes, explain when, where and disposition of the case:


2. Limitations related to health:

3. Special Skills, Training, Interests or Hobbies that may apply to your volunteer experience:


4. How did you become interested in the Davis Health System Volunteer Program?:


5. Area(s) you would like to volunteer: