Child Life Summer Student Volunteer Information:

Thank you for your interest in Cook Children's Child Life Summer Student Program. Cook Children's is a non-profit hospital that has been caring for sick and injured children for over 100 years. From the very beginning, volunteers have played a vital role in providing comfort and care during a time of need.

Child Life summer program volunteers MUST be declared Child Life students. They serve in a variety of inpatient and outpatient Child Life placements, June 8 - August 7, 2020. This volunteer opportunity is open to a limited number of Child Life students whose campuses are not located locally. Local Child Life students are invited to apply to our College Student Program beginning April 1st..

Child Life Summer Student Requirements:
1. Must be at least 18 years old
2. A declared Child Life student enrolled in related courses. Proof of declared course of study required.
3. Previous experience with children.
4. Able to commit to and complete a minimum of 50 hours of service during the summer.

Child Life Summer Student Onboarding Process:
1. Applications must be received by the posted deadline of April 30, 2020.
2. When the application and references have been reviewed for a possible match, the student will be contacted by e-mail for an interview, either in person or by Skype.
3. The student will be asked to sign an Authorization for Release of Information so that a background check can be completed.
4. If the student is accepted, the student MUST be able to attend New Volunteer Orientation and Patient Care Orientation on Saturday, May 16, 2020 8:30am-4:00pm, at Cook Children's in Fort Worth.
5. Applicants who are not accepted will be notified by letter or email.

Health Requirements:
A record of varicella (chicken pox) immunity must be provided to Cook Children's before you attend New Volunteer Orientation. This can be one of the following:
1. Proof of having received the two varicella vaccinations from your medical/immunization record.
2. Proof of a positive blood titer** (blood work) showing that you are immune to varicella from your doctor, a lab, or the Health Department. If your blood work shows you are not immune (negative), Cook Children's will provide the varicella vaccinations to you at no charge.
3. Your physician record showing that you were seen while having chicken pox or shingles*.
*Note that physician documentation of having had the disease is not the same as actually having been seen by your doctor during the actual disease process.
A shingles vaccination is not proof of having had chicken pox as anyone can get one whether they have had chicken pox or not.**
We can provide you with a location near Cook Children's that will do a blood titer at a reasonable cost ($40), if needed.
Cook Children's requires volunteers to complete an annual Tuberculosis (TB) skin test and flu vaccination. These are provided at no charge at our Occupational Health Clinic after new volunteer orientation is completed.

If you have any questions about the application or requirements, please call the volunteer office at 682-885-5500.
Thank you!

Paige Brown, CVA
Volunteer Program Coordinator
College Student Volunteer Program

Personal Information
About you
Background Check

You will be asked to sign an authorization form (at your interview) allowing your background check to be completed. Applicants must have a clear record (no arrests, convictions, nolo contendere pleas, deferred adjudications, or any other criminal entries). Per Cook Children's policy, you will be declined as a volunteer if there are any blemishes on your background check.

Emergency Contacts

In case you become sick or injured while volunteering, please list the emergency contact information for the person you want notified

Emergency Contact

I understand and agree that in the performance of my duties as a volunteer of Cook Children s Health Care System I must hold in strictest confidence any observations I may make or information I may hear regarding patients, patient families or staff.

I verify that all of the information provided by me on this application is true, correct and complete. I attest that I have never been arrested or charged with any crime and grant Cook Children's permission to verify this information in arriving at a decision.

I understand that false or misleading statements or the omission of any information necessary to make this application complete will result in rejection of my application or termination of my service.

Additionally, Cook Children's has my consent to photograph, videotape, or audiotape me performing my volunteer duties. I understand that these may be used toward the advancement of public education, the promotion of Cook Children's, and/or any other legitimate purpose.

I understand that upon my successful completion of the volunteer placement processes required at Cook Children's, I will become a volunteer. As a volunteer, I acknowledge that I will not receive compensation for services.