In the event of illness, injury or emergency, contact.
Applicant’s Agreement, Statement & Authorization(s)
As a Volunteer, you are considered a member of our Bear Lake Memorial Hospital family, and as such you have certain responsibilities to the Hospital and its patients: to observe the same code of ethics as those on the professional staff, to adhere to the Hospital policies and procedures, and to uphold patient confidentiality.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any volunteer relationship with Bear Lake Memorial Hospital is of an “at will” nature, which means that the Volunteer may resign at any time and Bear Lake Memorial Hospital may discharge the Volunteer at any time with or without cause. It is further understood that this “at will” relationship may not be changed by any written document or by conduct unless change is specifically acknowledged in writing by an authorized executive of the organization.
Volunteer Certification and Agreement (Please read the following before signing)
By my signature below, I further understand that:
I certify that the information I provided in this application is complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of facts in this application disqualifies me from further consideration, or, if I am selected as a Volunteer, is sufficient cause for dismissal regardless of when the misrepresentation or omission of fact is discovered.
I authorize investigation of all statements contained in this application and understand that I may be required to provide verification (diploma, license, transcripts, type tests, etc.) of information contained in this application. I authorize any and all persons, companies, or agencies to release to Bear Lake Memorial Hospital any and all information they may have, which is relevant to the application process. I also release all such parties from any liability that may result from furnishing information to Bear Lake Memorial Hospital.
I agree that if I am selected by Bear Lake Memorial Hospital as a Volunteer, I will review the information contained in the Volunteer Handbook and follow the practices described therein.
I understand that my working as a Volunteer for Bear Lake Memorial Hospital is contingent upon the following: Satisfactorily completing a criminal background check along with fingerprinting, and obtaining two satisfactory reference checks.
Before beginning an Active Volunteer Assignment, I will be required to attend an orientation, take an annual tuberculosis test (at no cost to the Volunteer) AND clear all background checks.
I acknowledge that I have read the certification and agreement, and agree to abide by its terms. I authorize Bear Lake Memorial Hospital to conduct a criminal background check along with fingerprinting.
