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Employee Volunteer Program Information:

Thank you for your interest in Cook Children's employee volunteer program. From the very beginning, volunteers have played a vital role in providing comfort and care during a time of need.

Employee volunteers must be a current Cook Children's employee in good standing, able to successfully complete a background check, and willing to serve a minimum of 20 hours per year. In order to volunteer one-on-one with patients and siblings, you will be required to attend Volunteer Patient Care Orientation to prepare you. This orientation is offered monthly, evenings or weekends. You will also need to complete Family & Friends CPR training, if you are not already CPR certified.

Note that employee volunteers cannot serve in a placement doing tasks that are part of their normal job descriptions or in the department where they normally work. They must volunteer during non-paid hours like lunchtime, before or after work, or on a day off.

If you have any questions about the forms or requirements, please call the volunteer office at 682-885-4598.

Thank you!

Marian DeMott
Volunteer Program Coordinator
Employee 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.