Teen Volunteer Applicants

ADVISEMENT:

Applications must be submitted online as they will be processed in the order they are received.

Teen Application Packet, together with report card, must be submitted to the Volunteer Services Department via email or in

person within 7 business days.

If you meet the minimum requirements as listed in the "Fact Sheet" you will be contacted by Volunteer Services

with detailed instructions and follow-up.

Please be advised, orientations are based on the Miami-Dade School calendar and are held on

teacher planning days or early release days.

Thank you.

Revised 09/19

B Chc-- - ital Teen Volunteer Pr. grain FACT SHEET

MINIMUM QUALIFICATIONS: Students Must: 1. Be at least 15 years old 2. Be able to commit to 3 hours of service per week to be completed before 7:00pm, Monday-Friday

NOTE Volunteer placements for teen volunteers are not available past 7:00pm. 3. Be able to commit to 100 hours of service within one year. 4. Receive a positive recommendation from a teacher. (Preferably one that has known the student

for at least 3-6 months) 5. Most recent original report card showing at least 3 grading periods (use prior year report card

when submitting during the first 2 grading periods of the school year) 5. Must have a G.P.A. of 3.0 or above 6. Must have received no more than two "2"s in effort per grading period 7. No more than one C in conduct per grading period 8. No more than 3 days of excused absence per grading period* 9. No more than 4 times tardy per grading period

COSTS: All students who are accepted in the teen volunteer program will be required to attend a mandatory teen volunteer orientation and purchase the following :

• Baptist Hospital Volunteer Polo shirt (sold on premises as it requires our logo) • Khaki pants (see dress code sheet)

DUTIES, RESPONSIBILITIES AND EXPECTATIONS: Teen volunteers are expected to work a minimum of 3 hours per week. Volunteer hours are to be completed after school and will be arranged through the Volunteer Services Office. Assignments are made based on the needs of the hospital and the interests of the teen. Volunteer hours must be completed throughout the year. We do not accept volunteers interested in working only dur-ing the summer months.

Assignments are received during the Teen Volunteer Orientation and the Volunteer Services office must be notified if one cannot report to volunteer or if one will be late for their volunteering shift. Volunteer Services staff members are available from 9:00am-5:00pm Monday-Friday. Three consec-utive weeks of unexcused absences may cause disruption on the assigned department and may result in dismissal from the Teen Volunteer Program.

The above qualifications are subject to change without notice and are based on the Miami Dade Public Schools grading system. Please provide equivalent information if you attend a private school.

,* Report cards printed from the Internet will not be accepted. ** Exceptions will be made on in the case of student illness or death of a family member.

The Volunteer Services Staff reserves the right to refuse admittance into the teen volunteer program or to dismiss any volunteer based on attitude, inappropriate behavior or failure to follow program or hospital policies.

Revised 2019

Otudrit Name:

Teen Application Packet Checklist

Please ensure that the following portions of the teen application packet are completed and returned to the Volunteer Services Department via e-mail and/or in person within 7 business days of submitting application.

(Items required to be sealed must be dropped off) Applications that are incomplete will be returned to you and will not be processed.

Please return this checklist with the items requested that are found in the Volunteer Teen Application packet.

El Student Essay

LI Teen Volunteer On-Line Application (please ensure that all portions are completed)

LI Teen Volunteer Supplemental Application (To be completed and signed by the parent/legal guardian.)

111 Teen Dress Code Policy (signed by student and parent)

111 Teacher Reference Form (Completed and signed in a sealed envelope)

CI Grade Report (not in Teen Packet and obtained from school) (showing academic, conduct and effort grades as well as attendance.)

DO NOT WRITE BELOW THIS LINE For Office Use Only

Received Date:

0 Meets requirements for interview 0 Does not meet requirements for interview

0 Missing items:

Revised 2019

Student Essay Please answer the following questions.

Use additional paper if needed.

Why would you like to become a Teen Volunteer at Baptist Hospital?

What would you like to gain from your Volunteer experience?

Revised 2019

TEEN VOLUNTEER SUPPLEMENTAL APPLICATION (To be completed by the parent/legal guardian)

PARENT/LEGAL GUARDIAN INFORMATION

Name:

Address:

Work Number:

Home Number:

VOLUNTEER WORK SCHEDULE

Please specify which days (Monday through Friday) your student will be able to volunteer:

Based on his/her schedule, what time will your teen be able to arrive at Baptist Hospital to volunteer?

PARENTAL CONSENT

I give permission for my son/daughter , who is at least 15 years old, to participate as a Teen Volunteer at Baptist Hospital of Miami. I understand that my son/daughter is making a commitment to serve as a volunteer and that I will support his/her participation, which includes reporting for duty as scheduled, except in the event of illness. I further understand that in the event of illness, it is my son or daughter's responsibility to notify the department where he/she is assigned that he/she will be unable to report for duty. I understand that if my child violates any rules or policies, he/she will be dismissed from the Teen Program.

I give permission for my son/daughter to be photographed for his/her hospital badge.

Signature of Parent/Guardian Date

Revised 2017

Teen Volunteer Dress Code Policy Shirt:

Teen Volunteers:

• Must wear a hunter green Baptist Hospital Volunteer polo shirt

• Polo shirts must be clean, wrinkle-free and in good condition

Pants:

Teen Volunteers:

• Teen volunteers must wear plain uniform-style khaki pants.

• Pants must be full-length. Capri pants and shorts are not acceptable.

• All pants must be well-fitted. Pants that are too loose or too tight are not acceptable.

• Pants must not be transparent.

Shoes:

• Shoes must be tennis shoes/sneakers.

• Shoes must be white, mostly-white, or black.

• Shoe must be well-fitted.

• Shoes must be clean and in good condition.

Socks:

• Socks must be able to be seen above the top of the tennis shoes being worn.

• Socks must be worn at all times.

• Socks must be white.

Undergarments:

• Undergarments must not be able to be seen through uniform pants or shirts.

Hair:

• Hair must be pulled away from the face with a plain rubber band, clip, ribbon or barrette.

• Hair must be a natural tone. Bright colors are not acceptable.

• Hair must be clean and well-groomed.

Jewelry:

Necklaces:

• Only one, simple, necklace or chain will be accepted.

• No rubber, rope, choker or black necklaces will be accepted.

Bracelets:

• A maximum of one bracelet per wrist will be accepted.

• Bracelets worn must be made of metal (gold, silver etc.) Jelly, thread or rope bracelets will not be accepted.

Rings:

• One ring per hand will be accepted.

Earrings:

• Earrings must not be more than 1 'A inches in length or diameter.

Other Jewelry:

• Other visible body jewelry such as nose rings or jewelry for the tongue, lips or face must be removed during the

volunteer shift.

Revised 2019

Nails:

• Nails must be well-groomed, trimmed neatly and of acceptable length.

• If painted, nails must be neutral or light-colored. Bright colors or black polishes will not be accepted.

• Artificial nails may not be worn by volunteers as dictated by hospital infection control practices. Natural nails may

not be more than IA inch past the end of the finger.

Badge:

• Badge must be worn at all times.

• The picture and name on the ID must be facing forward and must be visible.

• Stickers or other items placed on the badge must not cover the face, name or the "Volunteer" title.

• Badge must not be worn on the waist band of the uniform pants.

• Any pins worn on lanyards must be small and non-offensive.

Fragrances:

• Perfume and cologne are not permitted.

• Volunteers must be clean and odor-free when they report for their volunteer shift.

Disciplinary Policy Any violation of the above dress code will result in the following

Disciplinary action being taken against the volunteer.

1st Offense: Verbal warning that will be documented in the permanent volunteer file. Teen will be sent home for the day.

2nd Offense: Written warning, given to volunteer and sent to parent. Teen will be sent home for the day.

3rd Third Offense: Dismissal from the volunteer program.

Teen Name - Print Date Parent Name - Print Date

Teen Name Signature Date Parent Name -Signature Date

Revised 2019

Baptist Hospital

8900 North Kendall Drive Miami, FL 33176

Tel: 786-596-6575 Fax: 786-596-2928

www.baptisthealth.net

BAPTIST HEALTH

Dear High School Teacher:

has applied to become a member of the Baptist Hospital Teen Volunteer Program. Your evaluation of this student is an important factor in the application process. We will regard your reference as strictly confidential.

The primary purpose of the Baptist Hospital Teen Volunteer Program is to support the needs of the hospital through providing supplementary and complementary work. Volunteers and paid staff work together to improve the quality of life of the patients and guests we serve. Our Teen Volunteer Program also serves as a mean by which high school students may explore healthcare careers. Students volunteer in many areas of the hospital and are appreciated by the departments with which they work.

Your prompt completion of the reference form is greatly appreciated, as it will help us determine the acceptability of this applicant.

Thank you in advance for your cooperation.

Sincerely,

Ileana Gavilan-Sires Supervisor of Volunteer Services Baptist Hospital of Miami 8900 N Kendall Drive Miami, FL 33176 IleanaGabaptisthealth.net

Revised 9/19

Teacher Reference Form Baptist Hospital Teen Volunteer Program

Student Applicant Name:

How long have you known this student?

CHECK THE DESCRIPTION(S) THAT BEST DESCRIBE THIS STUDENT: Friendly Aggressive Relaxed Honest Extroverted Cooperative Introverted Compassionate Understanding Mature Flexible Motivated

Using the scale indicated, how would you rate this student: EXCELLENT/ GOOD/ AVERAGE/ POOR

1. List this student's strengths:

2. List this student's weaknesses:

3. How well does this student get along with others?

4. How would you rate this student's ability to follow instructions?

5. How well does this student manage his/her time?

6. Do you believe this student would be able to commit to volunteering a minimum of 3 hours per week in a healthcare environment? YES NO

Additional Comments:

Name: Phone Number:

Signature: Date:

Revised 9/19